Individual
MR. DONNY DARNELL ARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4595 DIPTERA LN, FAIRBURN, GA 30213-6570
(678) 641-4465
Mailing address
4595 DIPTERA LN, FAIRBURN, GA 30213-6570
(678) 641-4465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9959
GA
363AS0400X
Surgical Physician Assistant
010285
NY
363AS0400X
Surgical Physician Assistant
C0003093
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
09/22/2006
Last updated
01/03/2025
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