Individual
ROY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(866) 214-8600
(678) 888-0390
Mailing address
1343 CANTON RD, STE C, MARIETTA, GA 30066-6079
(866) 214-8600
(678) 888-0390
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ANP19663
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009954880
—
AL
01
—
051502638
BLUECROSS
AL
Enumeration date
07/12/2006
Last updated
07/27/2016
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