| Jorge L Lopez, PAC | |
|
900 Towne Lake Pkwy, Suite 400, Woodstock, GA 30189-1602 | |
| (770) 924-5095 | |
| (770) 924-7429 |
| Full Name | Jorge L Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 900 Towne Lake Pkwy, Woodstock, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316167398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA 9101712 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 005841 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge L Lopez, PAC 900 Towne Lake Pkwy, Suite 400, Woodstock, GA 30189-1602 Ph: (770) 924-5095 | Jorge L Lopez, PAC 900 Towne Lake Pkwy, Suite 400, Woodstock, GA 30189-1602 Ph: (770) 924-5095 |
Mr. Michael Wiley Mitchell, CST,CFA,CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2521 E Cherokee Dr, Woodstock, GA 30188 Phone: 770-704-9730 | |
Mrs. Michelle King Clardy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Towne Lake Pkwy, Ste 404, Woodstock, GA 30189 Phone: 770-926-9229 Fax: 678-415-2164 | |
Amanda Bostock Sowisdral, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 Phone: 770-442-1911 | |
Megan Andrews Perry, Physician Assistant Medicare: Medicare Enrolled Practice Location: 847 Society Ct, Woodstock, GA 30188 Phone: 770-630-8735 | |
Mrs. Nicole T Rivera, P.A.,C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Towne Lake Pkwy, Suite 308, Woodstock, GA 30189 Phone: 770-926-5459 Fax: 770-926-4421 | |
Elizabeth Danner Vandel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 203 Woodpark Pl, Building C, Woodstock, GA 30188 Phone: 770-926-4150 Fax: 770-926-0594 | |
Miss Deidra Dyan Munsanto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12201 Highway 92 Ste D, Woodstock, GA 30188 Phone: 770-517-4621 |