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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORGE L LOPEZ, PAC

Active

JORGE L LOPEZ, PAC is a Physician Assistant healthcare provider located in WOODSTOCK, Georgia. NPI 1316167398 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WOODSTOCK, GA

Registration Details

NPI Number
1316167398
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2007 (19.282058883798 yrs)
Last Updated
Sep 21, 2016
Licenses
PA 9101712 (FL)
005841 (GA)

Practice Information

Address
900 TOWNE LAKE PKWY
SUITE 400
WOODSTOCK, GA, 301891602
Browse GA providers · Browse ZIP 30189
Phone
7709245095
Fax
7709247429
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WOODSTOCK, GA

Name Credential NPI
NATALIYA VALENTINOVA PA-C 1568588812
MRS. MICHELLE KING CLARDY PA-C 1073732426
ELIZABETH DANNER VANDEL PA-C 1215168133
KIMBERLEY GLENN PA 1659601649
MISS DEIDRA DYAN MUNSANTO PA-C 1235432170
DANA DUNLAP 1659702884
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.