Wendy Anita Royal in Flowery Branch - Physician Assistant

Wendy Anita Royal - NPI 1740294560

Wendy Anita Royal is a Physician Assistant in Flowery Branch, Georgia. Wendy Anita Royal practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wendy Anita Royal is 1740294560. The last update date is 2010-02-19.

Wendy Anita Royal's current location address is 4919 Atlanta Hwy, Flowery Branch, Georgia. You can contact this provider via phone number 7709659222 and fax number 7709658811. The mailing address for Wendy Anita Royal is 4919 Atlanta Hwy, Flowery Branch, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Wendy Anita Royal
Address 4919 Atlanta Hwy, Flowery Branch, Georgia
Phone Number 7709659222
Fax Number 7709658811
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1740294560
Provider Enumeration Date 2006-07-28
Last Updated Date 2010-02-19

Provider Mailing Address Detail

Address 4919 Atlanta Hwy
City Flowery Branch
State Georgia (GA)
Post Code 305423328
Phone Number 7709659222
Fax Number 7709658811

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4813
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
748980904G GA --
10058150 GA AMERIGROUP
343820 GA WELLCARE
341310 GA WELLCARE
000311737C GA --
343819 GA WELLCARE
748980904B GA --
511I970299 GA MEDICARE PIN QC
748980904A GA --
000311737D GA --

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FAQs about Wendy Anita Royal

What is the unique identifier code issued to Wendy Anita Royal by the Centers for Medicare & Medicaid Services?

The Wendy Anita Royal has been assigned the NPI (National Provider Identifier) 1740294560. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wendy Anita Royal is physically located?

The Wendy Anita Royal is situated at the following address: 4919 Atlanta Hwy, Flowery Branch, GA 305423328.

What is Wendy Anita Royal's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wendy Anita Royal's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1740294560 assigned to Wendy Anita Royal?

The Wendy Anita Royal was issued its 1740294560 on 2006-07-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Wendy Anita Royal most recently updated?

The details pertaining to the Wendy Anita Royal, including its address, specialty, and other relevant information, were last refreshed on 2010-02-19.

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