IRINA SIDORENKO
Physician Assistant - Surgical
Active
Individual
NPI: 1740898279
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery | 208600000X | No | 20299 (GA) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 20-299 (GA) |
Frequently Asked Questions
NPI 1740898279 is the National Provider Identifier for IRINA SIDORENKO, a Physician Assistant - Surgical provider located in Grayson, GA. This NPI was enumerated on July 21, 2020.
IRINA SIDORENKO practices at 2311 RIDGE FOREST DR, Grayson, GA 30017.
Quick Facts
- NPI
- 1740898279
- Type
- Individual
- Enumerated
- Jul 21, 2020
- Last Updated
- Nov 19, 2021
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