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Contact Information

ROYAL BLUE MEDICAL CENTER GA. INC
555 OLD NORCROSS RD STE 100
LAWRENCEVILLE, GA30046-8703
 Phone: 704-277-1750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Pain

261QP3300X
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ROYAL BLUE MEDICAL CENTER GA INC · (Female)

NPI Number 1942845417
Status Active
Credentials
Entity Individual
Enumeration date 11/08/2019
Last updated 09/08/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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