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1053420257
MARK DANIEL LOPEZ
AUGUSTA, GA
NPI
1053420257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: GA 049055)
Enumeration Date
2006-08-30
Last Update Date
2023-11-30
Business Address
MARK DANIEL LOPEZ MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4951
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Mailing Address
MARK DANIEL LOPEZ MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-6410
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