Individual
MARICELIS H ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 MULKEY RD, STE 100, AUSTELL, GA 30106
(770) 948-3774
(770) 739-9609
Mailing address
1965 NORTH PARK PL, ATLANTA, GA 30339
(770) 952-8612
(770) 618-8075
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
050337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00920675A
—
GA
Enumeration date
06/08/2006
Last updated
07/08/2007
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