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Individual

DR. ROYDEN EUGENE DANIELS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
60 PEACHTREE PARK DR NE STE 100, ATLANTA, GA 30309-1304
(770) 815-5927
Mailing address
PO BOX 725231, ATLANTA, GA 31139-2231
(770) 815-5927

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
055558
GA
2085B0100X
Body Imaging Physician
ME22312
SC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
055558
GA
2085N0700X
Neuroradiology Physician
055558
GA
2085N0904X
Nuclear Radiology Physician
ME22312
SC
2085P0229X
Pediatric Radiology Physician
055558
GA
2085P0229X
Pediatric Radiology Physician
ME22312
SC
2085R0202X
Diagnostic Radiology Physician
Primary
055558
GA
2085R0202X
Diagnostic Radiology Physician
ME22312
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME22312
SC
2085U0001X
Diagnostic Ultrasound Physician
055558
GA
2085U0001X
Diagnostic Ultrasound Physician
ME22312
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10039347
AMERIGROUP GHF
GA
01
1923656
FIRST HEALTH
05
223127
SC
01
300126257
MEDICARE RR
01
P00400293
RAILROAD MEDICARE
GA
Enumeration date
08/07/2006
Last updated
10/17/2017
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