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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