Provider Demographics
NPI:1760591242
Name:NEWFIELD, DAREN MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:DAREN
Middle Name:MARK
Last Name:NEWFIELD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:541-207 TENTH STREET NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5713
Mailing Address - Country:US
Mailing Address - Phone:404-845-0777
Mailing Address - Fax:404-256-2443
Practice Address - Street 1:541 10TH ST NW
Practice Address - Street 2:BOX 207
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-5713
Practice Address - Country:US
Practice Address - Phone:404-845-0777
Practice Address - Fax:404-256-2443
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2013-12-10
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Provider Licenses
StateLicense IDTaxonomies
GA040750207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH01467Medicare UPIN