OrganizationActive
South Louisiana Ent, Facial Plastic & Hair Restoration, Apmc
NPI 1831402924 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Mandeville, LA
Provider details
- NPI number
- 1831402924
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Guillot, Owner(985) 327-5905
- License
- 203549 (LA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 203549 (LA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone: (985) 327-5905
Fax: (985) 200-0840
Approximate (ZIP-level) locationGet directions
Mailing address
1420 N Causeway Blvd
Mandeville, LA 70471-3104
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.