Healthcare Provider Details

I. General information

NPI: 1649357047
Provider Name (Legal Business Name): GAYLE W. DARSEY RN, BSN, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 PITTS CHAPEL RD
MACON GA
31217-2327
US

IV. Provider business mailing address

RR 1 BOX 2320
COCHRAN GA
31014-9703
US

V. Phone/Fax

Practice location:
  • Phone: 478-986-6825
  • Fax: 478-986-6825
Mailing address:
  • Phone: 478-934-4772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberRN047391
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: