Healthcare Provider Details

I. General information

NPI: 1982417457
Provider Name (Legal Business Name): ROYAL DIABETES MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 EXECUTIVE PL STE 101
FAYETTEVILLE NC
28305-5154
US

IV. Provider business mailing address

559 EXECUTIVE PL STE 101
FAYETTEVILLE NC
28305-5154
US

V. Phone/Fax

Practice location:
  • Phone: 919-744-4648
  • Fax: 919-287-2599
Mailing address:
  • Phone: 919-744-4648
  • Fax: 919-287-2599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES RAY III
Title or Position: PRESIDENT
Credential:
Phone: 919-744-4648