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General NPI Number Information
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NPI Number | 1518185040
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Entity Type | Organization
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Legal Business Name | CHANDRA BRITT ARMSTRONG MD, LLC
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1862 CANDLER RD
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City | DECATUR
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State | GA
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Zip | 30032-4163
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Country | US
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Telephone | 404-289-4556
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Fax | 678-720-0440
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Provider Business Mailing Address
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Address Line | 1862 CANDLER RD
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City | DECATUR
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State | GA
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Zip | 30032-4163
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Country | US
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Telephone | 404-289-4556
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Fax | 404-478-2779
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SAMUEL D ARMSTRONG
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Credential | MBA
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Telephone | 678-521-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 155972
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License Number State | GA
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