| Randolph L Royster Jr, MD | |
|
600 Hospital Dr, Suite 10, Clyde, NC 28721-8046 | |
| (828) 452-2320 | |
| (828) 456-4707 |
| Full Name | Randolph L Royster Jr |
|---|---|
| Gender | Male |
| Speciality | Radiology - Therapeutic Radiology |
| Location | 600 Hospital Dr, Clyde, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972553790 | NPI | - | NPPES |
| 130TY | Other | NC | BCBS OF NC PROVIDER # |
| 8770417002 | Other | NC | CIGNA PROVIDER NUMBER |
| 4626651 | Other | NC | AETNA PROVIDER NUMBER |
| 92-0006817 | Other | NC | RAILROAD MCARE PROVIDER # |
| 1190948 | Other | FL | GATEWAY HEALTH |
| 24-00057 | Other | NC | UTD. HLTHCR PROVIDER # |
| 89130TY | Medicaid | NC | |
| B4334 | Other | NC | MEDCOST PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | 19717 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph L Royster Jr, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Randolph L Royster Jr, MD 600 Hospital Dr, Suite 10, Clyde, NC 28721-8046 Ph: (828) 452-2320 |
Mark Mittelman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 262 Leroy George Dr, Ste X, Clyde, NC 28721 Phone: 828-452-8346 | |
Charles Carroll Thomas Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 600 Hospital Dr, Suite 10, Clyde, NC 28721 Phone: 828-452-2320 Fax: 828-456-4707 |