Antonio Tombo Lopez Jr., NP

Nurse Practitioner · Conyers, GA

Individual Active NPI

NPI number 1952183774

Practice location

1412 Milstead Ave NE Ste 300
Conyers, GA 30012-3877
Phone
(404) 918-2320
Fax
(833) 605-2563

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NPI record

NPI
1952183774
Entity type
Individual (Type 1)
Enumeration date
October 17, 2023
Last updated
October 21, 2025
Certified
October 21, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X APRN-NP249427 GA
Hematology & Oncology Physician 207RH0003X APRN-NP249427 GA

Mailing address

2001 Peachtree Rd NE Ste 645
Atlanta, GA 30309-1476
Phone
(404) 482-9325
Fax
(883) 605-2563

About Antonio Lopez

Antonio Tombo Lopez Jr., NP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1412 Milstead Ave NE Ste 300, Conyers, GA 30012-3877. The NPI number 1952183774 was assigned on October 17, 2023 and the record was last updated on October 21, 2025.

Antonio Lopez lists 2 licenses in the registry: #APRN-NP249427 (GA) for Nurse Practitioner; #APRN-NP249427 (GA) for Hematology & Oncology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Antonio Tombo Lopez Jr., NP?

The NPI number is 1952183774.

What is the phone number of Antonio Lopez?

The phone number listed for the practice location is (404) 918-2320.

Where is Antonio Lopez located?

1412 Milstead Ave NE Ste 300, Conyers, GA 30012-3877.

What is the taxonomy code for Antonio Lopez?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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