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Individual

DR. JANICE MARIE VIVALDI LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3550 PRESTON RIDGE RD, ALPHARETTA, GA 30005-3821
(800) 611-1811
Mailing address
13012 GARDNER DR, ALPHARETTA, GA 30009-2199
(787) 203-7080

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
681694
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
92661
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/07/2016
Last updated
09/26/2022
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