Jolie Visage Rejuvenation Centre

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

JOLIE VISAGE REJUVENATION CENTRE

Practice address

804 Inlet Square Dr Unit D
Murrells Inlet, SC 29576-7874

Phone

(843) 357-0010

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley Silber, MD

Title

Medical Director

Phone

(843) 357-0010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1528709144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 INLET SQUARE DR UNIT D",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767874",
            "telephone_number": "843-357-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 INLET SQUARE DR UNIT D",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767874",
            "telephone_number": "843-357-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOLIE VISAGE REJUVENATION CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SILBER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-357-0010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1326",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Johnson
• Sherri Moon Johnson, LPC
• Jack Johnston, MD
• Joel P Johnston, DMD
• Virginia Johnston, FNP
• Krystin Marie Jones, MHA, DNP, CRNA
• Morgan M Jones, CCC-SLP
• Lisa Dobson Jordan, MSP, CCC-SLP
• Joye Counseling Services, LLC
• Stacy Joye, LISW-CP

• Non-Pharmacy Dispensing Site in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Non-Pharmacy Dispensing Site in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.