Individual
ISAAC ALEXANDER ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2578 HELEN HWY, CLEVELAND, GA 30528-2848
(770) 219-9260
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN210540
GA
363LF0000X
Family Nurse Practitioner
Primary
RN210540
GA
Other
Enumeration date
07/02/2019
Last updated
10/22/2020
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