Royal, Wendy Anita

Royal, Wendy Anita is an individual health care provider with primary practice located at 4919 Atlanta Hwy , Flowery Branch GA 30542-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Royal, Wendy Anita can be contacted via phone (770) 965-9222.

Contact Information

Primary practice address
4919 Atlanta Hwy Flowery Branch GA 30542-3328
Phone: (770) 965-9222
Fax: (770) 965-8811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004813 Georgia

Profile Details

NPI number 1740294560
LBN Legal business name Royal, Wendy Anita
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 19th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740294560 NPPES
Georgia MEDICAID 748980904G
Georgia Other 10058150
Georgia Other 343820
Georgia Other 341310
Georgia MEDICAID 000311737C
Georgia Other 343819
Georgia MEDICAID 748980904B
Georgia Other 511I970299
Georgia MEDICAID 748980904A
Georgia MEDICAID 000311737D
Georgia MEDICAID 000311737E
Georgia Other 343821

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