Provider Demographics
NPI:1568908358
Name:GAY, ROYAN
Entity Type:Individual
Prefix:
First Name:ROYAN
Middle Name:
Last Name:GAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5036 SNAPFINGER WOODS DR
Mailing Address - Street 2:STE 210
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4064
Mailing Address - Country:US
Mailing Address - Phone:678-920-3171
Mailing Address - Fax:770-987-2799
Practice Address - Street 1:5036 SNAPFINGER WOODS DR
Practice Address - Street 2:STE 210
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4064
Practice Address - Country:US
Practice Address - Phone:678-920-3171
Practice Address - Fax:770-987-2799
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance