Individual
OMAR DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(864) 305-8237
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(864) 305-8237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
94179
SC
Other
Enumeration date
03/30/2022
Last updated
10/22/2025
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