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NPI Code Detail

MEDICARE: ROYCE LE MD

MEDICARE: ROYCE LE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831037027
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROYCE LE MD
Provider Business Mailing Address
First Line : 809 82ND PKWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-4607
Country : US
Telephone Number : 854-894-3509
Fax Number :
Provider Business Practice Location Address
First Line : 809 82ND PKWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-4607
Country : US
Telephone Number : 854-894-3509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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