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Contact Information

STEPHEN LOBER PLASTIC SURGERY, PC
2325 PRINCE AVE
ATHENS, GA30606-6003
 Phone: 706-369-8440
 Fax: 706-850-3411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for STEPHEN LOBER PLASTIC SURGERY PC · (Female)

NPI Number 1073032579
Status Active
Credentials
Entity Individual
Enumeration date 09/15/2017
Last updated 04/14/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 033386
  • GA Medicaid 000465638B
  • GA Medicaid 003199243A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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