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Individual

HARRELL CLARK ROYER JR.

Active
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Individual

HARRELL CLARK ROYER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800377
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCN068A
MEDICARE PTAN
NC
01
—
NCN068B
MEDICARE PTAN
NC
01
—
NCN068C
MEDICARE PTAN
NC
01
—
NCN068D
MEDICARE PTAN
NC
Enumeration date
11/07/2005
Last updated
04/27/2021
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