ROYAL BLUE MEDICAL CENTER GA. INC

LAWRENCEVILLE, GA
NPI1942845417
Doing Business AsROYAL BLUE MEDICAL CENTER
Entity TypeOrganization
Authorized ContactOMAR ELLISON
Owner
704-277-1750
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
2083S0010X Preventive Medicine, Sports Medicine
261QP3300X Clinic/Center, Pain
Enumeration Date2019-11-08
Last Update Date2020-09-08
Business Address
ROYAL BLUE MEDICAL CENTER GA. INC
555 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA 30046-8703
Phone number: 704-277-1750
Mailing Address
ROYAL BLUE MEDICAL CENTER GA. INC
2023 CONNONADE DR
WAXHAW, NC 28173-0109
Phone number: 704-277-1750
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