Individual
JUSTIN JOHNSON ROYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
197 MADISON HEIGHTS SQ, MADISON HEIGHTS, VA 24572-6243
(434) 846-8288
(434) 846-5691
Mailing address
197 MADISON HEIGHTS SQ, MADISON HEIGHTS, VA 24572-6243
(434) 846-8288
(434) 846-5691
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101004417
VA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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