Healthcare Provider Details

I. General information

NPI: 1447208087
Provider Name (Legal Business Name): DARYL LEE FIGA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11650 ALPHARETTA HWY SUITE 100
ROSWELL GA
30076
US

IV. Provider business mailing address

11650 ALPHARETTA HWY SUITE 100
ROSWELL GA
30076
US

V. Phone/Fax

Practice location:
  • Phone: 404-596-5670
  • Fax: 303-353-1475
Mailing address:
  • Phone: 404-596-5670
  • Fax: 303-353-1475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number035868
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number0044914
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number035868
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: