Southeast Ent & Facial Plastic Surgeyr, PC

NPI #1912288135 in Pooler, Georgia

Provider Information

NPI Number: 1912288135
Entity Type: Organization
Organization Name: Southeast Ent & Facial Plastic Surgeyr, PC
Primary Specialty: Otolaryngology - Otolaryngology/Facial Plastic Surgery
Enumeration Date: Sep 1, 2011
Last Updated: Sep 1, 2011

Practice Location

Address: 1000 TOWNE CENTER BLVD
Address 2: SUITE 501
City: Pooler
State: Georgia
ZIP Code: 31322-4052
Phone: (912) 330-5030

Authorized Official

Name: DR. ROBERT E JOHNSON, M.D.
Title: OWNER
Phone: (912) 330-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Otolaryngology/Facial Plastic Surgery — Otolaryngology/Facial Plastic Surgery	207YX0905X	Primary

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