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 |