Individual
STEVEN G LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 LEEDS AVE, STE. 219, N CHARLESTON, SC 29405-8520
(843) 745-5178
(843) 745-5115
Mailing address
2777 SPEISSEGGER DR, CHARLESTON, SC 29405-8229
(843) 747-5830
(843) 745-5115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20247
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202471
—
SC
01
—
P01078713
MEDICARE RAILROAD
SC
Enumeration date
08/29/2006
Last updated
02/10/2014
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