Organization · Type 2 NPI
Southeast Ent & Facial Plastic Surgeyr, PC
Otolaryngology/Facial Plastic Surgery Physician · Pooler, GA
NPI number
1912288135
Active
Practice location
1000 Towne Center Blvd, Suite 501
Pooler, GA 31322-4052
Fax (912) 330-5033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 035071 (GA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
74 other providers at this address
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About NPI 1912288135
Southeast Ent & Facial Plastic Surgeyr, PC's National Provider Identifier is 1912288135, issued on Sep 1, 2011. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Pooler, GA. The record was last updated on Sep 1, 2011.