Royals, Chester Theo

Royals, Chester Theo is an sole proprietor health care provider with primary practice located at 100 Doctors Dr Ste C , Douglas GA 31533-2211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Royals, Chester Theo can be contacted via phone (912) 384-5832.

Contact Information

Primary practice address
100 Doctors Dr Ste C Douglas GA 31533-2211
Phone: (912) 384-5832
Fax: (912) 383-8279
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0 Georgia

Profile Details

NPI number 1194974816
LBN Legal business name Royals, Chester Theo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2008
Last updated Mar 17th, 2018 - about 8 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 1194974816 NPPES
Georgia Other 072653 MEDICAL LICENSE
Georgia MEDICAID 003150454A MEDICAL LICENSE

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