Doctor Name: | WAYNE S GARRAWAY |
NPI Number: | 1871660845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | C2-0001804 |
Business Practice Address: | 2700 Silverside Rd Wilmington, DE - 198103719 |
Business Phone Number: | 3022256868 |
Business Fax Number: | 3024780294 |
Mailing Address: | 2700 Silverside Rd, WILMINGTON |
State: | DE |
Postal Code: | 198103719 |
Phone Number: | 3022256868 |
Fax Number: | 3024780294 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C2-0001804 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |