Organization
ROYAL WELLNESS INTERNATIONAL, INC.
Active
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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