Royal Wellness International, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

55514 Issued in GA

Legal business name

ROYAL WELLNESS INTERNATIONAL, INC.

Practice address

2488 Scenic Hwy S
Snellville, GA 30078-5710

Phone

(770) 289-7150

NPI assigned

Sep 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sunday Alaba Fawole, MD

Title

Medical Director

Phone

(770) 289-7150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Royal Wellness Center, Inc. Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1457787350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BERRYMAN PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458297",
            "telephone_number": "770-289-7150",
            "fax_number": "678-377-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 SCENIC HWY S",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785710",
            "telephone_number": "770-289-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL WELLNESS INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "FAWOLE",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_middle_name": "ALABA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-289-7150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "55514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164591913",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Wellness Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Purvesh Ronvelwala, AA
• Evan Rosenberry, ATC
• Avery Rosser, LPC
• Neisha Maryah Rougely, MD
• Don Orian Rowe, M.D.
• Shametra Rozier
• Alyssa Ruark, RBT
• Bryan Ruchin, PT
• Emily W Rudd, LCSW
• Ky Tai Le Ruiz, AA, PA

• Clinic/Center in Snellville, GA
• Providers in Snellville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.