Individual
JERRY C ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1412 ELBA HWY, TROY, AL 36079-6020
(334) 566-8822
(334) 808-8942
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19476
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116336
—
NH
01
—
T400632270
MEDICARE
NH
Enumeration date
08/09/2006
Last updated
01/07/2022
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