Organization
ROYAL WELLNESS INTERNATIONAL, INC.
Active
Other names
Royal Wellness Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDAY ALABA FAWOLE MD (MEDICAL DIRECTOR)
(770) 289-7150
Entity
Organization
Contact information
Practice address
2488 SCENIC HWY S, SNELLVILLE, GA 30078-5710
(770) 289-7150
Mailing address
801 BERRYMAN PL, LAWRENCEVILLE, GA 30045-8297
(770) 289-7150
(678) 377-6836
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
55514
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164591913
NPI
GA
Enumeration date
09/24/2013
Last updated
09/24/2013
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