Royal, Shirlene D

Royal, Shirlene D is an individual health care provider with primary practice located at 1309 Ocilla Rd Ste A , Douglas GA 31533-2209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Royal, Shirlene D can be contacted via phone (912) 384-2252.

Contact Information

Primary practice address
1309 Ocilla Rd Ste A Douglas GA 31533-2209
Phone: (912) 384-2252
Fax: (912) 384-8888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN077506 Georgia

Profile Details

NPI number 1154545077
LBN Legal business name Royal, Shirlene D
Credentials RN,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Nov 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154545077 NPPES
Georgia MEDICAID 000734038H

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