Jeremy T. Royal M.D.
Diagnostic Radiology Physician in Atlanta, GA(View on Map)
Full Name
Jeremy Todd Royal M.D.
NPI Number
1730382821
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/07/2007
Specialties
(Taxonomies)Licenses
State
Alabama
Georgia
South Carolina
License Number
28589
67312
MD36307
Contact
Information
Purpose
Mailing
Location
Address
5605 GLENRIDGE DR STE 325
1000 JOHNSON FERRY RD
City
Atlanta
Atlanta
State
GA
GA
Postal Code
30342-1365
30342
Country
US
US
Telephone Number
(678) 553-7783
(404) 851-6323
Identifiers
Identifier
051116335
129081
051116340
051116342
051116344
129079
129080
129084
051116334
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Identifier State
AL
AL
AL
AL
AL
AL
AL
AL
AL
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Identifier Issuer
BCBS
Unknown
BCBS
BCBS
BCBS
Unknown
Unknown
Unknown
BCBS
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/06/2019