Provider Demographics
NPI:1669545380
Name:LOPEZ-ARMSTRONG, CIELA (MD)
Entity type:Individual
Prefix:
First Name:CIELA
Middle Name:
Last Name:LOPEZ-ARMSTRONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 BIRMINGHAM ROAD
Mailing Address - Street 2:SUITE #501-312
Mailing Address - City:ALPHANETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004
Mailing Address - Country:US
Mailing Address - Phone:770-619-0004
Mailing Address - Fax:770-619-0252
Practice Address - Street 1:1300 UPPER LEMBREE RD.
Practice Address - Street 2:BLD #100, SUITE A
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-619-0004
Practice Address - Fax:770-619-0252
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA47344207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA758932662AMedicaid
GA699686OtherBCBS OF GA
GA7315453OtherAETNA
I21388Medicare UPIN
GA758932662AMedicaid
GA66BBBGXMedicare ID - Type Unspecified