Individual
PENNY MARIE DILORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
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
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/04/2022
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