Provider Demographics
NPI:1982417457
Name:ROYAL DIABETES MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:ROYAL DIABETES MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:919-744-4648
Mailing Address - Street 1:559 EXECUTIVE PL STE 101
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305-5154
Mailing Address - Country:US
Mailing Address - Phone:919-744-4648
Mailing Address - Fax:919-287-2599
Practice Address - Street 1:559 EXECUTIVE PL STE 101
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5154
Practice Address - Country:US
Practice Address - Phone:919-744-4648
Practice Address - Fax:919-287-2599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies