Individual
JULIO LOPEZ-TENORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 GILMER ST. SE, ATLANTA, GA 30303
(404) 616-1000
Mailing address
820 KOHL DR, MCDONOUGH, GA 30253-7489
(404) 902-0477
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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