Joan Sebastian Bolanos Lopez, PA-C
NPI #1396532511 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1396532511
- Entity Type
- Individual
- Name
- Joan Sebastian Bolanos Lopez, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 22, 2025
- Last Updated
- Aug 8, 2025
Practice Location
- Address
- 5160 OCEAN HWY W
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28470-4012
- Phone
- (910) 617-8325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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