# WENDY ANITA ROYAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740294560
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 004813 | GA | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 02/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000311737C | — | GA |
| 05 | — | 000311737D | — | GA |
| 05 | — | 000311737E | — | GA |
| 01 | — | 10058150 | AMERIGROUP | GA |
| 01 | — | 341310 | WELLCARE | GA |
| 01 | — | 343819 | WELLCARE | GA |
| 01 | — | 343820 | WELLCARE | GA |
| 01 | — | 343821 | WELLCARE | GA |
| 01 | — | 511I970299 | MEDICARE PIN QC | GA |
| 05 | — | 748980904A | — | GA |
| 05 | — | 748980904B | — | GA |
| 05 | — | 748980904G | — | GA |