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Individual

JONATHAN MANUEL LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5505 PEACHTREE DUNWOODY RD STE 200, ATLANTA, GA 30342-1749
(404) 350-2450
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
01/03/2023
Last updated
01/03/2023
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