Individual
JOSE ALBERTO LOPEZ-VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 230, CANTON, GA 30115-8029
(770) 924-9656
Mailing address
470 NORTHSIDE CHEROKEE BLVD STE 230, CANTON, GA 30115-8029
(770) 924-9656
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
98474
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
04/12/2024
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