NPI 1053473504

Juan Manuel Lopez, MD

Practitioner Plastic Surgery Physician Fort Eisenhower, GA

Practice location

Address: 300 W Hospital Rd, Fort Eisenhower, GA 30905-5741
Phone: (706) 787-1164

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 74518 (GA)

Other Plastic Surgery providers in Georgia →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence ME74668 (FL)

Registry record

NPI: 1053473504
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2006
Record last updated: 10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.