Richard M Proenza, PA-C

NPI #1982693024 in Vidalia, Georgia

Provider Information

NPI Number
1982693024
Entity Type
Individual
Name
Richard M Proenza, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Oct 20, 2005
Last Updated
Oct 3, 2013

Practice Location

Address
3301 E 1ST ST
Address 2
SUITE A
State
Georgia
ZIP Code
30474-8674
Phone
(912) 537-4411

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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