MEDICARE: JONATHAN MANUEL LOPEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1508579756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN MANUEL LOPEZ

Provider Business Mailing Address
First Line	:	2001 PEACHTREE RD NE STE 705
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1476
Country	:	US
Telephone Number	:	404-355-0743
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 PEACHTREE DUNWOODY RD STE 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1749
Country	:	US
Telephone Number	:	404-350-2450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2023
Last Update Date	:	01/03/2023

Similar Medicare Providers

1861027260 — WEBB PLASTIC SURGERY
Practice Location Address:

5505 PEACHTREE DUNWOODY RD STE 220
ATLANTA, GA
30342-1749

Practice Phone: 404-661-6865
Practice Fax: 404-829-1312

1376172528 — KELLI TESLER
Practice Location Address:

5505 PEACHTREE DUNWOODY RD STE 200
ATLANTA, GA
30342-1749

Practice Phone: 404-561-1924
Practice Fax:

1629697826 — LESLIE JONES PENNINGTON
Practice Location Address:

5505 PEACHTREE DUNWOODY RD STE 200
ATLANTA, GA
30342-1749

Practice Phone: 404-355-0743
Practice Fax:

1962734046 — SARAH JEAN RHODES PHYSICIAN ASSISTANT
Practice Location Address:

95 COLLIER RD NW STE 4055
ATLANTA, GA
30309-1749

Practice Phone: 404-355-3200
Practice Fax:

1851772982 — ERICA DELLA JACONO
Practice Location Address:

191 PEACHTREE ST NE STE 1400
ATLANTA, GA
30303-1749

Practice Phone: 866-968-6342
Practice Fax:

1659804318 — NAMRATHA SANDELLA MD
Practice Location Address:

95 COLLIER RD NW STE 4045
ATLANTA, GA
30309-1749

Practice Phone: 404-351-2270
Practice Fax:

Directions to “ JONATHAN MANUEL LOPEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.