MEDICARE: DR. BRIAN ATHAN ARMSTRONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	26509	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235167784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN ATHAN ARMSTRONG M.D.

Provider Business Mailing Address
First Line	:	17 23RD AVE
Second Line	:
City	:	ISLE OF PALMS
State	:	SC
Zip	:	29451
Country	:	US
Telephone Number	:	843-323-9228
Fax Number	:	843-885-0892

Provider Business Practice Location Address
First Line	:	17 23RD AVE.
Second Line	:
City	:	ISLE OF PALMS
State	:	SC
Zip	:	29451
Country	:	US
Telephone Number	:	843-323-9228
Fax Number	:	843-885-0892

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	01/09/2017

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