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

JOAN SEBASTIAN BOLANOS LOPEZ, PA-C

Active

JOAN SEBASTIAN BOLANOS LOPEZ, PA-C is a Physician Assistant healthcare provider located in SHALLOTTE, North Carolina. NPI 1396532511 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SHALLOTTE, NC

Registration Details

NPI Number
1396532511
Provider Type
Individual
Gender
Male
NPI Issued
Apr 22, 2025 (1.1324632622688 yrs)
Last Updated
Aug 8, 2025
License
0010-15626 (NC)

Practice Information

Address
5160 OCEAN HWY W
SHALLOTTE, NC, 284704012
Browse NC providers · Browse ZIP 28470
Phone
9106178325
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SHALLOTTE, NC

Name Credential NPI
MISS KELLY COLLIER PA 1700886595
MS. DOROTHY TRUAX P.A. 1265495071
CHARLES F BAY PA 1669404059
ROCKY CAROL QUILLEN PA 1518079961
JOHN A BLAKE PA-C 1780726570
TIFFANY LEWIS SCHEIB P.A. 1487960597
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.