Healthcare Provider Details

I. General information

NPI: 1841474707
Provider Name (Legal Business Name): NORTH FULTON RHEUMATOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 10/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 UPPER HEMBREE RD BLD# 100, SUITE #A
ROSWELL GA
30076-0927
US

IV. Provider business mailing address

980 BIRMINGHAM RD SUITE# 501-312
ALPHARETTA GA
30004-4417
US

V. Phone/Fax

Practice location:
  • Phone: 770-619-0004
  • Fax: 770-619-0252
Mailing address:
  • Phone: 770-619-0004
  • Fax: 770-619-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. CIELA LOPEZ-ARMSTRONG
Title or Position: OWNER
Credential: MD
Phone: 770-619-0004