Esj Aesthetics LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ESJ AESTHETICS LLC

Practice address

1730 Mount Vernon Rd Ste a
Dunwoody, GA 30338-4245

Phone

(770) 466-4700

Fax

(678) 737-1760

NPI assigned

May 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Earl Stephenson Jr., MDNPI 1487678751

Title

Owner

Phone

(770) 466-4700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Earl Stephenson Jr., M.D., DDS

  • Plastic Surgery Physician
  • Snellville, GA
  • NPI 1487678751
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1063251668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MOUNT VERNON RD STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384245",
            "telephone_number": "770-466-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MOUNT VERNON RD STE A",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384245",
            "telephone_number": "770-466-4700",
            "fax_number": "678-737-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESJ AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-466-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.