Individual
OMAR LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3763
(770) 534-6959
Mailing address
333 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3763
(770) 534-6959
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000955
GA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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