Provider Demographics
NPI:1518150986
Name:NAUGHTON, MARY P (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:P
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:573 GREENWOOD AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1839
Mailing Address - Country:US
Mailing Address - Phone:404-639-4457
Mailing Address - Fax:
Practice Address - Street 1:1600 CLIFLTON RD., MS E-03
Practice Address - Street 2:CENTER FOR DISEASE CTRL & PR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30333
Practice Address - Country:US
Practice Address - Phone:404-639-4457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA731522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology