Provider Demographics
NPI:1164615860
Name:NAFFIS, DARIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:DARIUS
Middle Name:
Last Name:NAFFIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2690 ORCHARD KNOB SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4624
Mailing Address - Country:US
Mailing Address - Phone:404-512-0911
Mailing Address - Fax:
Practice Address - Street 1:2690 ORCHARD KNOB SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4624
Practice Address - Country:US
Practice Address - Phone:404-512-0911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-25
Last Update Date:2007-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist