Provider Demographics
NPI:1952330326
Name:ARMSTRONG, CHARLTON P III (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLTON
Middle Name:P
Last Name:ARMSTRONG
Suffix:III
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 1:425 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-1046
Mailing Address - Country:US
Mailing Address - Phone:864-271-3414
Mailing Address - Fax:864-605-8556
Practice Address - Street 1:52 BEAR DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4458
Practice Address - Country:US
Practice Address - Phone:864-295-2131
Practice Address - Fax:864-605-8556
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8494208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC084946Medicaid
SCD18277Medicare UPIN
SC6141Medicare ID - Type UnspecifiedMEDICARE