Provider Demographics
NPI:1972839371
Name:LOPES CARDOZO, BARBARA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:LOPES CARDOZO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:LOPES CARDOZO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:112 HIBERNIA AVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2947
Mailing Address - Country:US
Mailing Address - Phone:404-229-2146
Mailing Address - Fax:404-229-2146
Practice Address - Street 1:2500 CENTURY BLVD
Practice Address - Street 2:MAILSTOP V 25-1
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345
Practice Address - Country:US
Practice Address - Phone:404-498-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0455422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry