Provider Demographics
NPI:1780367110
Name:ROYALTY COMMUNITY HEALTH INC.
Entity type:Organization
Organization Name:ROYALTY COMMUNITY HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:TUNISIA
Authorized Official - Middle Name:AMOS
Authorized Official - Last Name:ISOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-276-4822
Mailing Address - Street 1:215 MAIN ST STE S2
Mailing Address - Street 2:
Mailing Address - City:BARNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30204-1469
Mailing Address - Country:US
Mailing Address - Phone:423-276-4822
Mailing Address - Fax:
Practice Address - Street 1:215 MAIN ST STE S2
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-1469
Practice Address - Country:US
Practice Address - Phone:423-276-4822
Practice Address - Fax:423-205-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty