Search › Georgia › 363AS0400X
Richard Proenza, PA-C
NPI 1982693024 · on the registry since 2005
Practice
- Address
- 3301 E 1st St
Suite A
Vidalia, GA 30474 - Phone
- (912) 537-4411
- Fax
- (912) 538-8485
- Organisation at this address
- Mark Spivey Orthopedic Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia