Royal Blue Medical Center Ga Inc
Royal Blue Medical Center Ga Inc is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Lawrenceville, Georgia. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
555 Old Norcross Rd Ste 100Lawrenceville, GA 30046-8703
Phone: (704) 277-1750
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X |
| Sports Medicine (Preventive Medicine) Physician | Taxonomy 2083S0010X |
| Pain Clinic/Center | Taxonomy 261QP3300X |
Record details
| NPI number | 1942845417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Omar Ellison — Owner · (704) 277-1750 |
| Other names | Royal Blue Medical Center; Royal Blue Medical Center |
| NPI enumerated | November 8, 2019 |
| Last updated in NPPES | September 8, 2020 |
| Certification date | September 8, 2020 |
| Mailing address | 2023 Connonade Dr, Waxhaw, NC 28173-0109 |
Other providers in Lawrenceville
-
Danielle Marie Gunnin
1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 · (678) 312-1000