Organization
STEPHEN LOBER PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BRUCE LOBER MD (OWNER)
(706) 369-8440
Entity
Organization
Contact information
Practice address
2325 PRINCE AVE, ATHENS, GA 30606-6003
(706) 369-8440
(706) 850-3411
Mailing address
2325 PRINCE AVE, ATHENS, GA 30606-6003
(706) 369-8440
(706) 850-3411
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
033386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000465638B
—
GA
05
—
003199243A
—
GA
Enumeration date
09/15/2017
Last updated
04/14/2021
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