Individual
ETHEN ROYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 E IMPERIAL CIR, WARNER ROBINS, GA 31093-2201
(478) 257-1367
Mailing address
206 ORCHARD WAY, WARNER ROBINS, GA 31088-4434
(478) 257-1367
(478) 257-1367
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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