ROYAL BLUE MEDICAL CENTER GA. INC NPI 1942845417

NPI Information

NPI: 1942845417
Provider Name: ROYAL BLUE MEDICAL CENTER GA. INC

Doing Business As: ROYAL BLUE MEDICAL CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
555 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA
ZIP 30046
Phone: (704) 277-1750
Get Directions

ROYAL BLUE MEDICAL CENTER GA. INC is a general practice in Lawrenceville, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ROYAL BLUE MEDICAL CENTER GA. INC NPI is 1942845417. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Royal Blue Medical Center.

The provider's business location address is:

555 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA
ZIP 30046-703
Phone: (704) 277-1750

The provider's authorized official is Omar Ellison .
The authorized official title is Owner and has the following contact phone number (704) 277-1750.

The enumeration date for this NPI number is 11/8/2019 and was last updated on 9/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2081S0010X	Physical Medicine & Rehabilitation	Sports Medicine	No
2	2083S0010X	Preventive Medicine	Sports Medicine	No
3	261QP3300X	Clinic/Center	Pain	No
4	208D00000X	General Practice		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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