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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC

Active Organization

SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC is a Facial Plastic Surgery organization located in POOLER, Georgia. NPI 1912288135 is currently active in the NPPES registry. Verify at CMS.

Facial Plastic Surgery · POOLER, GA

Registration Details

NPI Number
1912288135
Provider Type
Organization
NPI Issued
Sep 1, 2011 (14.961752222285 yrs)
Last Updated
Sep 1, 2011
License
035071 (GA)

Practice Information

Address
1000 TOWNE CENTER BLVD
SUITE 501
POOLER, GA, 313224052
Browse GA providers · Browse ZIP 31322
Phone
9123305030
Fax
9123305033
Primary Specialty
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.