| Elliot P Royston Md Pc | |
|
1462 Montreal Rd Suite 312 Tucker GA 30084-6929 | |
| (770) 939-5130 | |
| (770) 908-8619 |
| Full Name | Elliot P Royston Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1462 Montreal Rd, Tucker, Georgia |
| Authorized Official Name and Position | Elliot Paul Royston (PRESIDENT) |
| Authorized Official Contact | 7709395130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot P Royston Md Pc 1462 Montreal Rd Suite 312 Tucker GA 30084-6929 Ph: (770) 939-5130 | Elliot P Royston Md Pc 1462 Montreal Rd Suite 312 Tucker GA 30084-6929 Ph: (770) 939-5130 |
| NPI Number | 1467648097 |
|---|---|
| Provider Enumeration Date | 09/18/2007 |
| Last Update Date | 09/18/2007 |
| Medicare PECOS PAC ID | 8729060314 |
|---|---|
| Medicare Enrollment ID | O20040607000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467648097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elliot P Royston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962411207 PECOS PAC ID: 5597716928 Enrollment ID: I20050203000001 |
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