Individual
DR. CHRISSY A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
(404) 785-5437
Mailing address
1400 TULLIE RD NE, ATLANTA, GA 30329-2309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301099007
MI
208000000X
Pediatrics Physician
4301099007
MN
2080P0206X
Pediatric Gastroenterology Physician
Primary
76313
GA
390200000X
Student in an Organized Health Care Education/Training Program
4301099007
MI
Other
Enumeration date
06/23/2011
Last updated
10/13/2019
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