A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | General Practice | 208D00000X |
| Pain | 261QP3300X | |
| Sports Medicine | 2081S0010X | |
| Sports Medicine | 2083S0010X |
* Indicates primary specialty
| NPI Number | 1942845417 |
| Legal business name LBN |
ROYAL BLUE MEDICAL CENTER GA. INC |
| Authorized official | OMAR ELLISON - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 11/08/2019 |
| Last updated | 09/08/2020 - About 6 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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