Individual
RAPHAEL R ROYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 354-5970
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 354-5970
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G58216
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380889540A
—
GA
01
—
P00336983
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
03/07/2023
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