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Javier A Lopez Cisneros
General Practice Physician in Atlanta, Georgia
NPI 1942334156

Javier A Lopez Cisneros is a General Practice Physician based in Atlanta, GA. Javier A Lopez Cisneros practices in Atlanta, GA. The NPI Number for Javier A Lopez Cisneros is 1942334156 and holds a License No. (Georgia).

The current practice location address for Javier A Lopez Cisneros is 5456 Peachtree Industrial Blvd, Atlanta, GA and can be reached out via phone at 404-735-8641.

Location: 5456 Peachtree Industrial Blvd, Atlanta, GA, 30341-2235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942334156
Provider Name
Javier A Lopez Cisneros
Credential
Provider Entity Type
Individual
Gender
Male
Address
5456 Peachtree Industrial Blvd, Atlanta, GA, 30341-2235
Phone Number
404-735-8641
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5456 Peachtree Industrial Blvd
City
Atlanta
State
Georgia
Zip
30341-2235
Phone Number
404-735-8641
Fax Number
person
Provider Business Mailing Address Details
Address
5456 Peachtree Industrial Blvd
City
Atlanta
State
Georgia
Zip
30341-2235
Phone Number
404-735-8641
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(Georgia)
Definition
Definition to come...
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