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SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC
NPI 1912288135
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Pooler, GA

Active since September 01, 2011
1000 TOWNE CENTER BLVD, SUITE 501, POOLER, GA 31322(912) 330-5030(912) 330-5033 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeast Ent & Facial Plastic Surgeyr, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC (NPI 1912288135) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Pooler, Georgia and active in the NPI registry since September 2011. The organization lists Robert E Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1912288135
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameSOUTHEAST ENT & FACIAL PLASTIC SURGEYR, PC
Location Address1000 TOWNE CENTER BLVD, SUITE 501Pooler, GA 31322-4052
Mailing Address1000 Towne Center Blvd, Suite 501Pooler, GA 31322-4052 · (912) 330-5030 · Fax (912) 330-5033
Phone(912) 330-5030
Fax(912) 330-5033
Organization SubpartNo
Authorized OfficialRobert E JohnsonOwner · (912) 330-5030
Enumeration DateSeptember 1, 2011
✔ NPI 1912288135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in GA · 035071
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
1000 TOWNE CENTER BLVD, Pooler, GA 31322
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE STANCELL
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330
DELA MATTHEW
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330
BROOKE BICHNER
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330
COSTRINI SLEEP SERVICES, INC.
Durable Medical Equipment & Medical Supplies
1000 TOWNE CENTER BLVD, SUITE 504
POOLER, GA 31322
Chatham County (912) 330-0979
IMANI ALSTON
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330
TIARA WEILER
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330
JAELYN PARKER
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330
MARISSA FLOWERS
Behavior Technician
1000 TOWNE CENTER BLVD
POOLER, GA 31322
Chatham County (706) 842-5330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Ent & Facial Plastic Surgeyr, PC's NPI number?

The NPI number for Southeast Ent & Facial Plastic Surgeyr, PC is 1912288135. It was assigned to this organization in the NPPES registry on September 1, 2011.

Where is Southeast Ent & Facial Plastic Surgeyr, PC located?

Southeast Ent & Facial Plastic Surgeyr, PC is located at 1000 Towne Center Blvd Suite 501, Pooler, GA 31322. The listed phone number is (912) 330-5030.

What is Southeast Ent & Facial Plastic Surgeyr, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Southeast Ent & Facial Plastic Surgeyr, PC was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.