person
Randolph L. Royster JR., MD
Therapeutic Radiology Physician in Clyde, North Carolina
NPI 1972553790

Randolph L. Royster JR. is a Therapeutic Radiology Physician based in Fort Myers, NC and is specialized in Therapeutic Radiology. Randolph L. Royster JR. practices in Clyde, NC and has the professional credentials of MD. The NPI Number for Randolph L. Royster JR. is 1972553790 and holds a License No. 19717 (North Carolina).

The current practice location address for Randolph L. Royster JR. is 600 Hospital Dr, Clyde, NC and can be reached out via phone at 828-452-2320 and via fax at 828-456-4707.

Location: 600 Hospital Dr, Clyde, NC, 33907-1412
person
Provider Profile Details
NPI Number
1972553790
Provider Name
Randolph L. Royster JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
600 Hospital Dr, Clyde, NC, 33907-1412
Phone Number
828-452-2320
Fax Number
828-456-4707
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130TY 01 NC BCBS OF NC PROVIDER #
8770417002 01 NC CIGNA PROVIDER NUMBER
4626651 01 NC AETNA PROVIDER NUMBER
92-0006817 01 NC RAILROAD MCARE PROVIDER #
1190948 01 FL GATEWAY HEALTH
24-00057 01 NC UTD. HLTHCR PROVIDER #
89130TY 05 NC
B4334 01 NC MEDCOST PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
600 Hospital Dr
City
State
Zip
28721-8046
Phone Number
828-452-2320
Fax Number
828-456-4707
person
Provider Business Mailing Address Details
Address
600 Hospital Dr
City
State
Zip
28721-8046
Phone Number
828-452-2320
Fax Number
828-456-4707
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
19717 (North Carolina)
Definition
Definition to come...
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