Individual
MR. LORENZO DEMOND HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
593 BESRA DR, GRAYSON, GA 30017-7947
(404) 805-9044
Mailing address
593 BESRA DR, GRAYSON, GA 30017-7947
(404) 805-9044
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4145
GA
Other
Enumeration date
06/24/2013
Last updated
07/13/2016
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