Organization
SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E JOHNSON M.D. (OWNER)
(912) 330-5030
Entity
Organization
Contact information
Practice address
1000 TOWNE CENTER BLVD, SUITE 501, POOLER, GA 31322-4052
(912) 330-5030
(912) 330-5033
Mailing address
1000 TOWNE CENTER BLVD, SUITE 501, POOLER, GA 31322-4052
(912) 330-5030
(912) 330-5033
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
035071
GA
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up