Antonio Tombo Lopez Jr, NP is a
Nurse Practitioner physician based in Conyers, Georgia. Antonio Tombo Lopez Jr is licensed to practice in Georgia (license number RN249427) and his current practice location is 1412 Milstead Ave Ne Ste 300, Conyers, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 918-2320.
NPI number for Antonio Tombo Lopez Jr is 1952183774 and his current mailing address is 2001 Peachtree Rd Ne Ste 645, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952183774.
Physician's Profile
| Full Name | Antonio Tombo Lopez Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 1412 Milstead Ave Ne Ste 300, Conyers, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952183774
- Provider Enumeration Date: 10/17/2023
- Last Update Date: 02/21/2024
Medical Identifiers
Medical identifiers for Antonio Tombo Lopez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952183774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | RN249427 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN249427 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antonio Tombo Lopez Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Antonio Tombo Lopez Jr, NP
2001 Peachtree Rd Ne Ste 645,
Atlanta, GA 30309-1476
Ph: (404) 482-9325 | Antonio Tombo Lopez Jr, NP
1412 Milstead Ave Ne Ste 300,
Conyers, GA 30012-3877
Ph: (404) 918-2320 |
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