Mark D. Lopez
Pediatric Emergency Doctor
1120 15th St
Augusta
, Georgia 30912-0004
Mark D. Lopez
Pediatric Emergency Doctor
1120 15th St
Augusta
, Georgia 30912-0004
(706) 722-5187
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Mark D. Lopez
- 1499 Walton Way Ste 1400
- Augusta, GA
- Zip : 30901-2602
- Fax : (706) 722-5187
- Phone : (706) 828-6410
Second Address
- Mark D. Lopez
- 1120 15th St
- Augusta, GA
- Zip : 30912-0004
- Fax : (706) 721-7941
- Phone : (706) 721-4951
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 049055 | GA |
National Provider Identifier
| NPI | 1053420257 |
|---|---|
| Provider Name | Mark D. Lopez |
| First Address | Augusta, GA 30901-2602 |
| Second Address | Augusta, GA 30912-0004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G49055 | (05) | SC |
| G96298 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.