Earl Stephenson Jr, MD, DDS is a
Plastic Surgery physician based in Snellville, Georgia. Earl Stephenson Jr is licensed to practice in Georgia (license number 045975) and his current practice location is 2220 Wisteria Dr, Suite 209, Snellville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 466-4700.
NPI number for Earl Stephenson Jr is 1487678751 and his current mailing address is 2220 Wisteria Dr, Suite 209, Snellville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487678751.
Physician's Profile
| Full Name | Earl Stephenson Jr |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 2220 Wisteria Dr, Snellville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487678751
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 03/06/2013
Medical Identifiers
Medical identifiers for Earl Stephenson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487678751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 045975 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Earl Stephenson Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Earl Stephenson Jr, MD, DDS
2220 Wisteria Dr, Suite 209,
Snellville, GA 30078-4606
Ph: (770) 466-4700 | Earl Stephenson Jr, MD, DDS
2220 Wisteria Dr, Suite 209,
Snellville, GA 30078-4606
Ph: (770) 466-4700 |
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