Ellen Lewis Royal in Opelika - Adolescent Medicine

Ellen Lewis Royal - NPI 1689622763

Ellen Lewis Royal is a Adolescent Medicine in Opelika, Alabama. Ellen Lewis Royal practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Ellen Lewis Royal is 1689622763. The last update date is 2017-10-24.

Ellen Lewis Royal's current location address is 2901 Corporate Park Dr, Opelika, Alabama. You can contact this provider via phone number 3342031766 and fax number 3342031784. The mailing address for Ellen Lewis Royal is 2901 Corporate Park Dr, Opelika, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellen Lewis Royal
Address 2901 Corporate Park Dr, Opelika, Alabama
Phone Number 3342031766
Fax Number 3342031784
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1689622763
Provider Enumeration Date 2006-05-04
Last Updated Date 2017-10-24

Provider Mailing Address Detail

Address 2901 Corporate Park Dr
City Opelika
State Alabama (AL)
Post Code 368017283
Phone Number 3342031766
Fax Number 3342031784

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 21763
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44755 AL --
44755 AL BLUE CROSS & BLUE SHIELD

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FAQs about Ellen Lewis Royal

What is the unique 10-digit identification code issued to Ellen Lewis Royal by the Centers for Medicare & Medicaid Services?

The Ellen Lewis Royal has been assigned the NPI (National Provider Identifier) 1689622763 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Ellen Lewis Royal's facilities are geographically located?

The facilities of Ellen Lewis Royal are physically situated at the following location: 2901 Corporate Park Dr, Opelika, AL, 368017283.

What is the Ellen Lewis Royal's specialty and taxonomy code?

The Ellen Lewis Royal's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.

On what date did Ellen Lewis Royal receive its 1689622763 assignment from the Centers for Medicare & Medicaid Services?

The Ellen Lewis Royal was assigned its 1689622763 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Ellen Lewis Royal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ellen Lewis Royal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-10-24.

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