Individual
DINA K. ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2155 POST OAK TRITT RD, SUITE 100, MARIETTA, GA 30062-8620
(770) 973-4700
Mailing address
2155 POST OAK TRITT RD, SUITE 100, MARIETTA, GA 30062-8620
(770) 973-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
062765
GA
208000000X
Pediatrics Physician
Primary
2007-01724
NC
208000000X
Pediatrics Physician
A62559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A625590
—
CA
01
—
147VW
BCBS
NC
05
—
5908597
—
NC
Enumeration date
01/08/2007
Last updated
10/05/2009
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