Individual
DR. MARK WILLIAM ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
518 S VAN BUREN RD, SUITE 6, EDEN, NC 27288-5033
(336) 623-9711
Mailing address
PO BOX 488, EDEN, NC 27289-0488
(336) 623-9711
(336) 627-0778
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8973551
—
NC
Enumeration date
11/04/2005
Last updated
11/17/2011
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