Provider Demographics
NPI:1013141118
Name:NAUGLES, DARREN DEANDRE (MD)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:DEANDRE
Last Name:NAUGLES
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 1:6290 MCDONOUGH DR STE D
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1291
Mailing Address - Country:US
Mailing Address - Phone:770-637-2928
Mailing Address - Fax:
Practice Address - Street 1:6290 MCDONOUGH DR STE D
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1291
Practice Address - Country:US
Practice Address - Phone:770-637-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA61808207P00000X
GA061808207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine