Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 059678 | GA |
NPI | 1083678783 |
---|---|
Provider Name | Dr. Wendy Suzanne Armstrong |
First Address | Atlanta, GA 30308-2012 |
Second Address | Atlanta, GA 30308-2012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 21/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2192612 | (05) | OH |
440003441 | MEDICARE RAILROAD (01) | OH |
H24641 | (02) | OH |