| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERICA MADLOCK ROYAL | 1043286818 | 2022-05-08 |
Erica Royal [F] graduated in 1995 from Meharry Medical College School Of Medicine and primarily specializes in Obstetrics/gynecology.
Erica Madlock Royal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043286818. Registration indicates Erica Madlock Royal is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| PECOS ID | 2163554338 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Erica Madlock Royal MD |
| Practice Office Address | 826 DAVIS ST BLACKSBURG, VA US |
| Practice Office Telephone | 5404430500 |
| Mailing Address | PO BOX 6163 GLEN ALLEN, VA 230586163 US |
| Business Telephone | 8042696889 |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 0101225372
VA |
| 6207910 | MEDICAID | VA |