Rada Pavenko
NPI #1902632037 in Sugar Hill, Georgia
Provider Information
- NPI Number
- 1902632037
- Entity Type
- Individual
- Name
- Rada Pavenko
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Surgical Assistant
- Enumeration Date
- Sep 13, 2024
- Last Updated
- Oct 21, 2024
Practice Location
- Address
- 424 EAGLE TIFF DR
- City
- Sugar Hill
- State
- Georgia
- ZIP Code
- 30518-7101
- Phone
- (678) 200-2903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
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