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Antonio Tombo Lopez JR., NP
Nurse Practitioner in Conyers, Georgia
NPI 1952183774

Antonio Tombo Lopez JR. is a Nurse Practitioner based in Atlanta, GA. Antonio Tombo Lopez JR. practices in Conyers, GA and has the professional credentials of NP. The NPI Number for Antonio Tombo Lopez JR. is 1952183774 and holds a License No. RN249427 (Georgia).

The current practice location address for Antonio Tombo Lopez JR. is 1412 Milstead Ave Ne Ste 300, Conyers, GA and can be reached out via phone at 404-918-2320 and via fax at 833-605-2563.

Location: 1412 Milstead Ave Ne Ste 300, Conyers, GA, 30309-1476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952183774
Provider Name
Antonio Tombo Lopez JR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1412 Milstead Ave Ne Ste 300, Conyers, GA, 30309-1476
Phone Number
404-918-2320
Fax Number
833-605-2563
Provider Enumeration Date
10/17/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1412 Milstead Ave Ne Ste 300
City
Conyers
State
Georgia
Zip
30012-3877
Phone Number
404-918-2320
Fax Number
833-605-2563
person
Provider Business Mailing Address Details
Address
1412 Milstead Ave Ne Ste 300
City
Conyers
State
Georgia
Zip
30012-3877
Phone Number
404-918-2320
Fax Number
833-605-2563
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
RN249427 (Georgia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN249427 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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