Ryan Gegg
Otolaryngology/Facial Plastic Surgery
112 Haven Dr Ste 1
Dothan
, Alabama 36301-2908
Ryan Gegg
Otolaryngology/Facial Plastic Surgery
112 Haven Dr Ste 1
Dothan
, Alabama 36301-2908
(334) 792-0515
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Ryan Gegg
- 112 Haven Dr Ste 1
- Dothan, AL
- Zip : 36301-2908
- Fax : (334) 792-0515
- Phone : (334) 793-6673
Second Address
- Ryan Gegg
- 112 Haven Dr Ste 1
- Dothan, AL
- Zip : 36301-2908
- Fax : (334) 792-0515
- Phone : (334) 793-6673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101019990 | MI |
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | DO.1715 | AL |
National Provider Identifier
| NPI | 1710241054 |
|---|---|
| Provider Name | Ryan Gegg |
| First Address | Dothan, AL 36301-2908 |
| Second Address | Dothan, AL 36301-2908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2012 |
| Last Update Date | 02/04/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.