Most Relevant Information
Provider Data
| NPI Number: | 1003463977 |
| Provider Name: | ROSA MARIA LOPEZ RINCON |
| Entity Type: | Individual |
| Taxonomy Code: | 207L00000X |
| Specialty: | Anesthesiology |
| License Number: | 11648 |
Most Important Dates
| Enumeration Date: | 08/24/2019 |
| Last Updated: | 08/24/2019 |
Provider Practice Location
1120 15TH ST
AUGUSTA
GA
309120004
Practice Location Phone/Fax
| Phone: | 7064465836 |
| Fax: |
Provider Mailing Location
1120 15TH ST
AUGUSTA
GA
309120004
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |