Provider Demographics
NPI:1376625053
Name:ARMSTRONG, CHANDRA LAUREN BRITT (MD)
Entity Type:Individual
Prefix:
First Name:CHANDRA
Middle Name:LAUREN BRITT
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHANDRA
Other - Middle Name:LAUREN
Other - Last Name:BRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1862 CANDLER RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-4163
Mailing Address - Country:US
Mailing Address - Phone:404-289-4556
Mailing Address - Fax:404-289-4667
Practice Address - Street 1:1986 CANDLER RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-4225
Practice Address - Country:US
Practice Address - Phone:404-289-4556
Practice Address - Fax:404-289-4667
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G5444Medicare UPIN