Individual
FIDEL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322-1060
(404) 785-6670
(404) 785-1362
Mailing address
1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322-1060
(404) 785-6670
(404) 785-1362
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
6541
GA
Other
Enumeration date
07/03/2006
Last updated
06/06/2022
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