Organization
DILORENZO SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY DILORENZO CSFA (OWNER)
(912) 337-7789
Entity
Organization
Contact information
Practice address
694 SADDLE CIR, WAYCROSS, GA 31503-7930
(912) 337-7789
Mailing address
694 SADDLE CIR, WAYCROSS, GA 31503-7930
(912) 337-7789
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
01/04/2022
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