Antonio Tombo Lopez Jr, NP - Nurse Practitioner in Conyers, GA

Antonio Tombo Lopez Jr, NP is a Nurse Practitioner physician based in Conyers, Georgia. Antonio Tombo Lopez Jr is licensed to practice in Georgia (license number RN249427) and his current practice location is 1412 Milstead Ave Ne Ste 300, Conyers, Georgia. He can be reached at his office (for appointments etc.) via phone at (404) 918-2320.

NPI number for Antonio Tombo Lopez Jr is 1952183774 and his current mailing address is 2001 Peachtree Rd Ne Ste 645, Atlanta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952183774.

Contact Information

Antonio Tombo Lopez Jr, NP
1412 Milstead Ave Ne Ste 300,
Conyers, GA 30012-3877
(404) 918-2320
(833) 605-2563



Physician's Profile

Full NameAntonio Tombo Lopez Jr
GenderMale
SpecialityNurse Practitioner
Location1412 Milstead Ave Ne Ste 300, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952183774
  • Provider Enumeration Date: 10/17/2023
  • Last Update Date: 02/21/2024

Medical Identifiers

Medical identifiers for Antonio Tombo Lopez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952183774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology RN249427 (Georgia)Secondary
363L00000XNurse Practitioner RN249427 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antonio Tombo Lopez Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Antonio Tombo Lopez Jr, NP
2001 Peachtree Rd Ne Ste 645,
Atlanta, GA 30309-1476

Ph: (404) 482-9325
Antonio Tombo Lopez Jr, NP
1412 Milstead Ave Ne Ste 300,
Conyers, GA 30012-3877

Ph: (404) 918-2320

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