Provider Demographics
NPI:1568645091
Name:DARDEN, DAVID D (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:DARDEN
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3120
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37320-3120
Mailing Address - Country:US
Mailing Address - Phone:423-618-4151
Mailing Address - Fax:
Practice Address - Street 1:1680 SAND MOUNTAIN ROAD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:TN
Practice Address - Zip Code:37361-0335
Practice Address - Country:US
Practice Address - Phone:423-618-4151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO832083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF15909Medicare UPIN