# RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Office
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659943108
- **Authorized official:** MICHAEL ROYALL JR. FNP (OWNER)
- **Authorized official phone:** (336) 248-1068

## Contact information

- **Practice address:** 500 W 5TH ST STE 800, WINSTON SALEM, NC 27101-3131
- **Practice address phone:** (336) 247-1068
- **Mailing address:** 500 W 5TH ST STE 800, WINSTON SALEM, NC 27101-3131
- **Mailing address phone:** (336) 247-1068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 09/08/2021