Provider Demographics
NPI:1073970406
Name:ARMSTRONG, STEPHEN II
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:ARMSTRONG
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 SUBLIME TRL
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-7281
Mailing Address - Country:US
Mailing Address - Phone:678-558-4664
Mailing Address - Fax:
Practice Address - Street 1:910 SUBLIME TRL
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-7281
Practice Address - Country:US
Practice Address - Phone:678-558-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN217944163W00000X
FLUNKNOWN/EXPIRED163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse