NPI 1003584475
Emerald Ent Allergy Hearing and Facial Plastics LLC
Practice location
- Address
- 141 Mack Bayou Loop STE 102, Santa Rosa Beach, FL 32459-7194
- Phone
- (850) 797-6191
- Fax
- (850) 420-8342
Authorised official
- Name
- Ryan Edgar Gegg
- Title
- Owner/Physician
- Phone
- (810) 610-3313
Registered specialties (3)
Otolaryngology/Facial Plastic Surgery Physician
Primary
Allergy & Immunology Physician
Otolaryngology Physician
Registry record
- NPI
- 1003584475
- Entity type
- Organization
- NPI issued
- 1 Sep 2021
- Record last updated
- 27 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.