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Atlanta Multi-Specialty Associates, PC

Organization Active NPI Gastroenterology Physician · Riverdale, GA

NPI 1851457741 · NPPES record last updated Dec 30, 2009

Key facts

NPI
1851457741
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
ATLANTA MULTI-SPECIALTY ASSOCIATES, PC
Practice address
6564 Professional PL
Suite B
Riverdale, GA 30274-2520
Phone
(770) 991-2292
Fax
(770) 991-2295
NPI assigned
Dec 28, 2006
Organization subpart
No

Authorized official

Name
Dr. Hector H Lopez Jr., M.D.
Title
President
Phone
(770) 991-2292

National Provider Directory

Locations

275 Upper Riverdale Rd SW
Riverdale, GA 30274

6564 Professional Pl
Ste B
Riverdale, GA 30274
Phone (770) 991-2292

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

6564 Professional PL
Suite B
Riverdale, GA 30274-2520

Mailing address

6564 Professional PL
Suite B
Riverdale, GA 30274-2520
Phone (770) 991-2292

Other identifiers

IdentifierTypeStateIssuer
00130908AMedicaidGA

Other providers in Riverdale, GA

All providers in Riverdale, GA · Gastroenterology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.