Healthcare Provider Details

I. General information

NPI: 1720046089
Provider Name (Legal Business Name): DAVID N ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 WELLNESS WAY STE 200
LAWRENCEVILLE GA
30046-3304
US

IV. Provider business mailing address

1000 JOHNSON FY RD NE NORTHSIDE HOSPITAL - MANAGED CARE
ATLANTA GA
30342-1606
US

V. Phone/Fax

Practice location:
  • Phone: 770-277-4277
  • Fax: 770-995-5742
Mailing address:
  • Phone: 404-300-2476
  • Fax: 404-250-8010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number036677
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: