Provider Demographics
NPI:1093851891
Name:ROYALS, HOOVER MCGY JR (MD)
Entity Type:Individual
Prefix:
First Name:HOOVER
Middle Name:MCGY
Last Name:ROYALS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 GREENVILLE BLVD SE
Mailing Address - Street 2:STE 400 - 337
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5221
Mailing Address - Country:US
Mailing Address - Phone:252-259-6467
Mailing Address - Fax:
Practice Address - Street 1:235 JENKINS RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NC
Practice Address - Zip Code:28526
Practice Address - Country:US
Practice Address - Phone:252-259-6467
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2022-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC86233Medicare UPIN