EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC

SANTA ROSA BEACH, FL
NPI1003584475
Entity TypeOrganization
Authorized ContactRYAN EDGAR GEGG
Owner/Physician
810-610-3313
Organization Subpart ?No
Primary Taxonomy207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
Additional Taxonomies207K00000X Allergy & Immunology
207Y00000X Otolaryngology
Enumeration Date2021-09-01
Last Update Date2022-07-27
Business Address
EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC
141 MACK BAYOU LOOP STE 102
SANTA ROSA BEACH, FL 32459-7194
Phone number: 850-797-6191
Mailing Address
EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC
141 MACK BAYOU LOOP STE 102
SANTA ROSA BEACH, FL 32459-7194
Phone number: 850-797-6191