Provider Demographics
NPI:1720046089
Name:ARMSTRONG, DAVID N (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:N
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 JOHNSON FY RD NE
Mailing Address - Street 2:NORTHSIDE HOSPITAL - MANAGED CARE
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1606
Mailing Address - Country:US
Mailing Address - Phone:404-300-2476
Mailing Address - Fax:404-250-8010
Practice Address - Street 1:721 WELLNESS WAY
Practice Address - Street 2:STE 200
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-3304
Practice Address - Country:US
Practice Address - Phone:770-277-4277
Practice Address - Fax:770-995-5742
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036677208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1247OtherKAISER
GA00538953AMedicaid
519517OtherAETNA HMO
0749371006OtherHMO
4338334OtherAETNA NON HMO
52450780OtherBCBS
1406534OtherUNITED HEALTHCARE
582000488OtherEIN
F48558Medicare UPIN
F48558Medicare UPIN