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Individual

DR. STEVEN LOPATINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 COUNTRY CLUB DR, SUITE D, STOCKBRIDGE, GA 30281-9084
(770) 474-1919
(770) 474-7832
Mailing address
350 COUNTRY CLUB DR, SUITE D, STOCKBRIDGE, GA 30281-9084
(770) 474-1919
(770) 474-7832

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
046612
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00821741A
GA
01
1024702
CIGNA ID
GA
01
1221679
UNITED HEALTHCARE
GA
01
492356
AETNA PROVIDER ID
GA
01
52494178
BLUE CROSS BLUE SHIELD ID
GA
Enumeration date
11/07/2005
Last updated
10/06/2011
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