Individual
CARL H LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11741
SC
2083P0901X
Public Health & General Preventive Medicine Physician
11741
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117411
—
SC
Enumeration date
04/14/2006
Last updated
02/02/2017
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