Justin Royal

NPI 1710704630 · on the registry since 2024 · sole proprietor

Practice

Address: 197 Madison Heights Sq
Madison Heights, VA 24572
Phone: (434) 846-8288
Fax: (434) 846-5691
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia