Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK BRADLEY ROYAL, M.D.
Active Sole ProprietorJACK BRADLEY ROYAL, M.D. is a Anesthesiology healthcare provider located in CORDELE, Georgia. NPI 1134483878 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · CORDELE, GA
Registration Details
- NPI Number
- 1134483878
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2012 (14.172083524023 yrs)
- Last Updated
- Mar 21, 2021
- License
-
TRN17253 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
902 N 7TH STCORDELE, GA, 310153234Browse GA providers · Browse ZIP 31015
- Phone
- 2292763100
- Primary Specialty
-
Anesthesiology
207L00000X
Other Anesthesiology Providers in CORDELE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. DON T SMITH JR. | MD | 1053329268 |
| GUY THOMAS YOUNG | MD | 1124238878 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.