Royal Blue Medical Center

LBN: Royal Blue Medical Center Ga. Inc
Royal Blue Medical Center is an health care organization with primary practice located at 555 Old Norcross Rd Ste 100 , Lawrenceville GA 30046-8703. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Royal Blue Medical Center Ga. Inc can be contacted via phone (704) 277-1750, or through Ellison, Omar via phone (704) 277-1750.

Contact Information

Primary practice address
555 Old Norcross Rd Ste 100 Lawrenceville GA 30046-8703
Phone: (704) 277-1750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellison, Omar
Phone: (704) 277-1750

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1942845417
LBN Legal business name Royal Blue Medical Center Ga. Inc
DBA Doing business as Royal Blue Medical Center
Authorized official Ellison, Omar
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2019
Last updated Sep 8th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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