Provider Demographics
NPI:1861812786
Name:ARMBRUSTER, MICHAEL EDWIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDWIN
Last Name:ARMBRUSTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3499 S COBB DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4170
Mailing Address - Country:US
Mailing Address - Phone:404-456-6482
Mailing Address - Fax:470-394-6800
Practice Address - Street 1:3499 S COBB DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4170
Practice Address - Country:US
Practice Address - Phone:404-456-6482
Practice Address - Fax:470-394-6800
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-17
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
GA752142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program