Provider Demographics
NPI:1841474707
Name:NORTH FULTON RHEUMATOLOGY
Entity type:Organization
Organization Name:NORTH FULTON RHEUMATOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ-ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-619-0004
Mailing Address - Street 1:980 BIRMINGHAM RD
Mailing Address - Street 2:SUITE# 501-312
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4417
Mailing Address - Country:US
Mailing Address - Phone:770-619-0004
Mailing Address - Fax:770-619-0252
Practice Address - Street 1:1300 UPPER HEMBREE RD
Practice Address - Street 2:BLD# 100, SUITE #A
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-0927
Practice Address - Country:US
Practice Address - Phone:770-619-0004
Practice Address - Fax:770-619-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAI21388Medicare UPIN
GAGRP6829Medicare PIN
GA66BBBGXMedicare PIN