Jorge L Lopez in Woodstock - Physician Assistant
Jorge L Lopez - NPI 1316167398
Jorge L Lopez is a Physician Assistant in Woodstock, Georgia. Jorge L Lopez practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jorge L Lopez is 1316167398. The last update date is 2016-09-21.
Jorge L Lopez's current location address is 900 Towne Lake Pkwy, Woodstock, Georgia. You can contact this provider via phone number 7709245095 and fax number 7709247429. The mailing address for Jorge L Lopez is 900 Towne Lake Pkwy, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jorge L Lopez |
|---|---|
| Address | 900 Towne Lake Pkwy, Woodstock, Georgia |
| Phone Number | 7709245095 |
| Fax Number | 7709247429 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1316167398 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2016-09-21 |
Provider Mailing Address Detail
| Address | 900 Towne Lake Pkwy |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301891602 |
| Phone Number | 7709245095 |
| Fax Number | 7709247429 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 9101712 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Jorge L Lopez by the Centers for Medicare & Medicaid Services?
The Jorge L Lopez has been assigned the NPI (National Provider Identifier) 1316167398. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jorge L Lopez's physical address?
The Jorge L Lopez is physically located at 900 Towne Lake Pkwy, in the city of Woodstock, GA, with the postal code 301891602.
What is the Jorge L Lopez's specialty and taxonomy code?
The Jorge L Lopez's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316167398 to Jorge L Lopez?
The Jorge L Lopez received its 1316167398 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information pertaining to Jorge L Lopez most recently updated or revised?
The details related to Jorge L Lopez, including its address, specialty, and other relevant information, were last updated or revised on 2016-09-21.