Organization
EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC
Active
Organization
EMERALD ENT ALLERGY HEARING AND FACIAL PLASTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN EDGAR GEGG DO (OWNER/PHYSICIAN)
(810) 610-3313
Entity
Organization
Contact information
Practice address
141 MACK BAYOU LOOP STE 102, SANTA ROSA BEACH, FL 32459-7194
(850) 797-6191
(850) 420-8342
Mailing address
141 MACK BAYOU LOOP STE 102, SANTA ROSA BEACH, FL 32459-7194
(850) 797-6191
(850) 797-6191
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
07/27/2022
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