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Organization

ELLIOT P ROYSTON MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLIOT PAUL ROYSTON MD (PRESIDENT)
(770) 939-5130
Entity
Organization

Contact information

Practice address
1462 MONTREAL RD, SUITE 312, TUCKER, GA 30084-6929
(770) 939-5130
(770) 908-8619
Mailing address
1462 MONTREAL RD, SUITE 312, TUCKER, GA 30084-6929
(770) 939-5130
(770) 908-8619

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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