Healthcare Provider Details

I. General information

NPI: 1215647052
Provider Name (Legal Business Name): ZULIMA ARMSTRONG CST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 PEACHTREE DUNWOODY RD
ATLANTA GA
30342-1705
US

IV. Provider business mailing address

5505 PEACHTREE DUNWOODY
ATLANTA GA
30342-1705
US

V. Phone/Fax

Practice location:
  • Phone: 404-220-7505
  • Fax: 404-220-7506
Mailing address:
  • Phone: 404-220-7505
  • Fax: 404-220-7506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number591207
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: