RICHARD M PROENZA

VIDALIA, GA
NPI1982693024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  004304)
Enumeration Date2005-10-20
Last Update Date2013-10-03
Business Address
-- RICHARD M PROENZA PA-C
3301 E 1ST ST SUITE A
VIDALIA, GA 30474-8674
Phone number: 912-537-4411
Mailing Address
-- RICHARD M PROENZA PA-C
3301 E 1ST ST SUITE A
VIDALIA, GA 30474-8674
Phone number: 912-537-4411
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