Irina Sidorenko
Irina Sidorenko is a Surgery Physician in Grayson, Georgia. Licensed in Georgia. Registered with an NPI since 2020.
- Licensed in
- GA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2311 Ridge Forest DrGrayson, GA 30017-1718
Phone: (678) 656-6819
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 20-299 (GA) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 20299 (GA) |
Record details
| NPI number | 1740898279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 21, 2020 |
| Last updated in NPPES | November 19, 2021 |
| Certification date | November 19, 2021 |