Healthcare Provider Details

I. General information

NPI: 1144357799
Provider Name (Legal Business Name): DR. MARK ARMSTRONG MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1722 E REELFOOT AVE SUITE 1
UNION CITY TN
38261-6050
US

IV. Provider business mailing address

PO BOX 1000 DEPT 590
MEMPHIS TN
38148-0001
US

V. Phone/Fax

Practice location:
  • Phone: 901-382-1200
  • Fax: 901-382-8070
Mailing address:
  • Phone: 901-382-1200
  • Fax: 901-382-8070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD0000027706
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN0000038418
License Number StateTN

VIII. Authorized Official

Name: DR. MARK ARMSTRONG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 901-382-1200