Individual
MR. JIMMY RAY ROYALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFTS
Contact information
Practice address
2491 ARMSTRONG DR, WINSTON SALEM, NC 27103-6813
(336) 776-1599
(336) 661-9378
Mailing address
PO BOX 1138, YADKINVILLE, NC 27055-1138
(336) 776-1599
(336) 661-9378
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
03/15/2012
Last updated
01/31/2017
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