| Dr Chester Theo Royals Jr, MD | |
|
100 Doctors Dr Ste C, Douglas, GA 31533-2211 | |
| (912) 384-5832 | |
| (912) 383-8279 |
| Full Name | Dr Chester Theo Royals Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 100 Doctors Dr Ste C, Douglas, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194974816 | NPI | - | NPPES |
| 072653 | Other | GA | MEDICAL LICENSE |
| 003150454A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coffee Regional Medical Center, Inc | Douglas, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crh Physician Practices, Llc | 5193727964 | 32 |
| Entity Name | Crh Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710046073 PECOS PAC ID: 5193727964 Enrollment ID: O20070207000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chester Theo Royals Jr, MD 1100 Ward Street Ext W, Douglas, GA 31533-1902 Ph: () - | Dr Chester Theo Royals Jr, MD 100 Doctors Dr Ste C, Douglas, GA 31533-2211 Ph: (912) 384-5832 |
Dr. Romulo P Navarro, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 | |
Dr. Charles A Bagwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 | |
Timothy A Humphries, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533 Phone: 912-384-5832 Fax: 912-383-8279 |