Individual
JESSICA MADGE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 EDGEWOOD DR, GREENVILLE, SC 29605-4246
(864) 250-7944
(864) 250-9582
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 941-8100
(864) 388-1052
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
05/12/2025
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