IndividualActive
Earl Stephenson, M.D., DDS
NPI 1487678751 · Plastic Surgery Physician · Snellville, GA
Provider details
- NPI number
- 1487678751
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 045975 (GA)
Practice location
2220 Wisteria Dr
Suite 209
Snellville, GA 30078-4606
Phone: (770) 466-4700
Fax: (770) 466-4750
Mailing address
2220 Wisteria Dr
Snellville, GA 30078-4606
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2013-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.