Healthcare Provider Details

I. General information

NPI: 1952051278
Provider Name (Legal Business Name): JUSTIN CODY ARMSTRONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 COLISEUM PL
MACON GA
31217-3867
US

IV. Provider business mailing address

1550 COLLEGE ST
MACON GA
31207-1500
US

V. Phone/Fax

Practice location:
  • Phone: 478-745-7935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number110834
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: