Organization
CROWNED ROYALTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERN BELFON RN (ORGANIZER)
(516) 504-5586
Entity
Organization
Contact information
Practice address
1445 WOODMONT LN NW STE 4613, ATLANTA, GA 30318-2866
(404) 919-4552
Mailing address
1445 WOODMONT LN NW STE 4613, ATLANTA, GA 30318-2866
(404) 919-4552
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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