Individual
JEREMY TODD ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 851-6323
(404) 303-3747
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7793
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
28589
AL
2085R0202X
Diagnostic Radiology Physician
Primary
67312
GA
2085R0202X
Diagnostic Radiology Physician
MD36307
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051116333
BCBS
AL
01
—
051116334
BCBS
AL
01
—
051116335
BCBS
AL
01
—
051116336
BCBS
AL
01
—
051116339
BCBS
AL
01
—
051116340
BCBS
AL
01
—
051116341
BCBS
AL
01
—
051116342
BCBS
AL
01
—
051116343
BCBS
AL
01
—
051116344
BCBS
AL
05
—
06104821
—
MS
05
—
129079
—
AL
05
—
129080
—
AL
05
—
129081
—
AL
05
—
129082
—
AL
05
—
129083
—
AL
05
—
129084
—
AL
05
—
129085
—
AL
05
—
129086
—
AL
05
—
129087
—
AL
05
—
129088
—
AL
Enumeration date
06/07/2007
Last updated
05/06/2019
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