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Individual

MARTIN ROYBAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
3021 BROCKHAM CT, AUGUSTA, GA 30909-0629
(404) 934-1715

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136489
GA

Other

Enumeration date
01/06/2022
Last updated
01/06/2022
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