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Ricardo Lopez
Durable Medical Equipment & Medical Supplies in Smyrna, Georgia
NPI 1487235214

Ricardo Lopez is a Durable Medical Equipment & Medical Supplies based in Smyrna, GA. Ricardo Lopez practices in Smyrna, GA. The NPI Number for Ricardo Lopez is 1487235214 and holds a License No. (Georgia).

The current practice location address for Ricardo Lopez is 1675 Cumberland Pkwy Se Ste 307, Smyrna, GA and can be reached out via phone at 678-426-8443.

Location: 1675 Cumberland Pkwy Se Ste 307, Smyrna, GA, 30080-6361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487235214
Provider Name
Ricardo Lopez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1675 Cumberland Pkwy Se Ste 307, Smyrna, GA, 30080-6361
Phone Number
678-426-8443
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PHDME000614 01 GA DURABLE MEDICAL EQUIPMENT SUPPLIER LICENSE
20284321254 01 GA SALES AND USE TAX CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
1675 Cumberland Pkwy Se Ste 307
City
Smyrna
State
Georgia
Zip
30080-6361
Phone Number
678-426-8443
Fax Number
person
Provider Business Mailing Address Details
Address
1675 Cumberland Pkwy Se Ste 307
City
Smyrna
State
Georgia
Zip
30080-6361
Phone Number
678-426-8443
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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