Wayne Juwan Darisaw

Anesthesiology Physician · Tifton, GA

Individual Active NPI

NPI number 1619530276

Practice location

901 18TH St E
Tifton, GA 31794-3648
Phone
(229) 382-7120

Open in Google Maps

NPI record

NPI
1619530276
Entity type
Individual (Type 1)
Enumeration date
April 19, 2019
Last updated
August 28, 2024
Certified
August 28, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 100941 GA

Mailing address

PO Box 2650
Tifton, GA 31793-2650

About Wayne Darisaw

Wayne Juwan Darisaw is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 901 18TH St E, Tifton, GA 31794-3648. The NPI number 1619530276 was assigned on April 19, 2019 and the record was last updated on August 28, 2024.

Wayne Darisaw lists a license in the registry: #100941 (GA) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wayne Juwan Darisaw?

The NPI number is 1619530276.

What is the phone number of Wayne Darisaw?

The phone number listed for the practice location is (229) 382-7120.

Where is Wayne Darisaw located?

901 18TH St E, Tifton, GA 31794-3648.

What is the taxonomy code for Wayne Darisaw?

The primary taxonomy code is 207L00000X – Anesthesiology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Anesthesiology Physician providers in Tifton

All Anesthesiology Physician providers in Tifton, GA →