Letitia D Royster, MD | |
81 Upper Riverdale Rd, Suite 210, Riverdale, GA 30274-2627 | |
(770) 996-1200 | |
(770) 907-7492 |
Full Name | Letitia D Royster |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 33 Years |
Location | 81 Upper Riverdale Rd, Riverdale, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356425292 | NPI | - | NPPES |
00757402A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 044077 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Regional Medical Center | Riverdale, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
My Obgyn Pc | 9335120997 | 3 |
Entity Name | My Obgyn Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669534210 PECOS PAC ID: 9335120997 Enrollment ID: O20040528000396 |
Mailing Address | Practice Location Address |
---|---|
Letitia D Royster, MD Po Box 962380, Riverdale, GA 30296-6921 Ph: (770) 996-1200 | Letitia D Royster, MD 81 Upper Riverdale Rd, Suite 210, Riverdale, GA 30274-2627 Ph: (770) 996-1200 |
Dr. Neil S Gladstone, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 81 Upper Riverdale Rd, Suite 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-7492 | |
Paris Cannon Mcallister, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 | |
Dr. Reubean Alvis Reynolds, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 81 Upper Riverdale Rd Sw, Suite 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-7492 | |
Dr. Timothy Bonitto Brown, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 83 Upper Riverdale Road, Suite 135, Riverdale, GA 30274 Phone: 770-991-0778 Fax: 770-991-7390 | |
Clifton G Youngblood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 81 Upper Riverdale Rd, Suite 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-7492 | |
Dr. Chelsee Lynn Whitling, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 81 Upper Riverdale Road, Suite 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-5279 |