Lopez-Maldonado, Jorge Luis

Lopez-Maldonado, Jorge Luis is an individual health care provider with primary practice located at 300 W Hospital Rd , Fort Gordon GA 30905-5741. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Lopez-Maldonado, Jorge Luis can be contacted via phone (706) 787-9251.

Contact Information

Primary practice address

300 W Hospital Rd Fort Gordon GA 30905-5741

Phone: (706) 787-9251

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Nursing Service Providers / Licensed Practical Nurse	164W00000X	LPN050471	Georgia

Profile Details

NPI number	1235305079
LBN Legal business name	Lopez-Maldonado, Jorge Luis
Credentials	Licensed Practical Nurse (LPN)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 1st, 2008
Last updated	May 1st, 2008 - about 16 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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