| NPI | 1942845417 |
|---|---|
| Doing Business As | ROYAL BLUE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | OMAR ELLISON Owner 704-277-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 2083S0010X Preventive Medicine, Sports Medicine | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2020-09-08 |