Individual
EARL STEPHENSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., DDS
Contact information
Practice address
2220 WISTERIA DR, SUITE 209, SNELLVILLE, GA 30078-4606
(770) 466-4700
(770) 466-4750
Mailing address
2220 WISTERIA DR, SUITE 209, SNELLVILLE, GA 30078-4606
(770) 466-4700
(770) 466-4750
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
045975
GA
Other
Enumeration date
07/27/2006
Last updated
03/06/2013
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