Organization
ROYAL BLUE MEDICAL CENTER GA. INC
Active
Other names
Royal Blue Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR ELLISON (OWNER)
(704) 277-1750
Entity
Organization
Contact information
Practice address
555 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-8703
(704) 277-1750
Mailing address
2023 CONNONADE DR, WAXHAW, NC 28173-0109
(704) 277-1750
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
11/08/2019
Last updated
09/08/2020
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