Individual
ALVARO J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1370 MONTREAL RD, #130, TUCKER, GA 30084-8128
(770) 939-1601
Mailing address
1700 HOSPITAL SOUTH DR STE 402, AUSTELL, GA 30106-8116
(770) 739-8282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
034184
GA
207RI0200X
Infectious Disease Physician
34184
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00476704A
—
GA
Enumeration date
05/05/2006
Last updated
10/01/2020
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