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General NPI Number Information
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NPI Number | 1932180635
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Entity Type | Individual
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Provider Name | ANTHONY LANE ARMSTRONG M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 401 ALCORN DR SUITE 1E
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City | CORINTH
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State | MS
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Zip | 38834-9072
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Country | US
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Telephone | 662-665-0457
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Fax | 662-665-0458
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Provider Business Mailing Address
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Address Line | PO BOX 24023
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City | JACKSON
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State | MS
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Zip | 39225-4023
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Country | US
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Telephone | 662-665-0457
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Fax | 662-665-0458
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 14758
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License Number State | MS
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