Signature Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

045975 Issued in GA

Legal business name

SIGNATURE PLASTIC SURGERY, LLC

Practice address

3543 Highway 81
Loganville, GA 30052-4336

Phone

(404) 642-4367

NPI assigned

Apr 6, 2009

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, MD

Title

Physician/Owner

Phone

(404) 642-4367

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1841432812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300860446",
            "telephone_number": "404-642-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524336",
            "telephone_number": "404-642-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "404-642-4367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "045975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Shelnutt
• Meklit Shiferaw
• Vanessa Marie Shoop, LCSW
• Natalie Brown Shumate, CPNP
• Mwangala Kristine Sibetta-Pate, LCSW-LMSW
• Naomi M Simpson, LCSW
• Jennifer Marie Sims, MS, OTR/L
• Carol Frances Sinopole, PHARMD
• Terry Leon Skinner II
• Skyland Manor PCH (Greenidge And Associates LLC)

• Plastic Surgery Physician in Loganville, GA
• Providers in Loganville, 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 Apr 6, 2009; 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.