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Individual

ERIC LORENZO FONTANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
317 WOODSPRING LN, GREENVILLE, NC 27834-7765
(252) 802-0194

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
MAA.176.AA
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/18/2026
Last updated
07/16/2026
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