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Individual

ROBERT MARVIA ROYSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 PEACHTREE RD NE, STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136
Mailing address
2001 PEACHTREE RD NE, STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
(404) 355-2136

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
023401
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00406293B
GA
Enumeration date
08/10/2005
Last updated
03/14/2012
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