Individual
DR. ENRIQUE PATRICK LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-1000
Mailing address
500 W 3RD AVE STE 101, ALBANY, GA 31701-1900
(229) 312-5800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
241-007
MA
2086S0102X
Surgical Critical Care Physician
Primary
076310
GA
Other
Enumeration date
07/17/2009
Last updated
03/17/2018
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