Healthcare Provider Details

I. General information

NPI: 1285831347
Provider Name (Legal Business Name): MIA N ARMSTRONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 SUNNYBROOK RD STE 116
RALEIGH NC
27610-7401
US

IV. Provider business mailing address

23 SUNNYBROOK RD STE 116
RALEIGH NC
27610-7401
US

V. Phone/Fax

Practice location:
  • Phone: 919-250-3478
  • Fax: 919-250-6272
Mailing address:
  • Phone: 919-250-3478
  • Fax: 919-250-6272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2014-00124
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: