Basic Information
Provider Information
NPI: 1942352851
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARLINGTON
FirstName: ANDREW
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1267 HIGHWAY 54 W
Address2: SUITE 2200
City: FAYETTEVILLE
State: GA
PostalCode: 302142114
CountryCode: US
TelephoneNumber: 4046052800
FaxNumber: 4043515983
Practice Location
Address1: 1267 HIGHWAY 54 W
Address2: SUITE 2200
City: FAYETTEVILLE
State: GA
PostalCode: 302142114
CountryCode: US
TelephoneNumber: 4046052800
FaxNumber: 4043515983
Other Information
ProviderEnumerationDate: 01/18/2007
LastUpdateDate: 04/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X071597GAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RA0001X071597GAY    

No ID Information.


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