Exclusively Faces Cosmetic Surgery and Medispa PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

EXCLUSIVELY FACES COSMETIC SURGERY AND MEDISPA PC

Doing business as

PTC ENT

Practice address

20 Francis Way Ste 300
Sharpsburg, GA 30277-3589

Phone

(678) 857-3211

Fax

(678) 857-3212

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By 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

Dr. Matthew Karen, MD

Title

President / MD

Phone

(678) 857-3211

Specialties & licenses 1

Addresses

Other names 1

• PTC ENT Doing business as

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1902650211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3250",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226042450",
            "telephone_number": "540-678-3588",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRANCIS WAY STE 300",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773589",
            "telephone_number": "678-857-3211",
            "fax_number": "678-857-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVELY FACES COSMETIC SURGERY AND MEDISPA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "KAREN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT / MD",
        "authorized_official_telephone_number": "678-857-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PTC ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Janae Douglass, RPH
• Sara Oliver Dupree, L.P.C.
• Debra Dwight, ED.D.
• Mable Earl, LPC
• Julie Renee Evans, LPC
• Gracie Beth Federer, RN
• Lauren M Fenner, PA-C
• Hannah Floyd
• Melissa Frederick, M.SP.CCC.SLP
• Haley Renee Frey

• Otolaryngology Physician in Sharpsburg, GA
• Providers in Sharpsburg, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.