Southeast ENT & Facial Plastic Surgeyr, PC
Southeast ENT & Facial Plastic Surgeyr, PC provides Otolaryngology/Facial Plastic Surgery Physician services in Pooler, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 Towne Center Blvd Ste 501Pooler, GA 31322-4052 Not confirmed with CMS for 15 years — call before visiting
Phone: (912) 330-5030
Fax: (912) 330-5033
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X · Licence 035071 (GA) |
|---|
Record details
| NPI number | 1912288135 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Johnson — Owner · (912) 330-5030 |
| NPI enumerated | September 1, 2011 |
| Last updated in NPPES | September 1, 2011 |
| Mailing address | 1000 Towne Center Blvd, Suite 501, Pooler, GA 31322-4052 |