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Jimmy Ray Royall, CFTS

Orthotic Fitter in Winston Salem, NC. Individual provider (NPI-1).

NPI number1548535115
StatusActive
Last updated in NPPESJan 31, 2017

Details

NPI
1548535115
Entity type
Individual (NPI-1)
Name
Mr. Jimmy Ray Royall
Credential
CFTS
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 15, 2012
Last updated
Jan 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225000000X Orthotic Fitter––Yes
247200000X Technician, Other––

Practice location

2491 Armstrong Dr
Winston Salem, NC 27103-6813

Phone 336-776-1599 · Fax 336-661-9378

Mailing address

Po Box 1138
Yadkinville, NC 27055-1138

Phone 336-776-1599 · Fax 336-661-9378

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