Individual
WENDY ANITA ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4919 ATLANTA HWY, FLOWERY BRANCH, GA 30542-3328
(770) 965-9222
(770) 965-8811
Mailing address
601 S ENOTA DR NE, STE Q, GAINESVILLE, GA 30501-2400
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004813
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000311737C
—
GA
05
—
000311737D
—
GA
05
—
000311737E
—
GA
01
—
10058150
AMERIGROUP
GA
01
—
341310
WELLCARE
GA
01
—
343819
WELLCARE
GA
01
—
343820
WELLCARE
GA
01
—
343821
WELLCARE
GA
01
—
511I970299
MEDICARE PIN QC
GA
05
—
748980904A
—
GA
05
—
748980904B
—
GA
05
—
748980904G
—
GA
Enumeration date
07/28/2006
Last updated
02/19/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us