MEDICARE: TRACY L M SAWYER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	0104001132	VA

General Provider Information

NPI Number	:	1659417749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRACY L M SAWYER

Provider Business Mailing Address
First Line	:	228 N LYNNHAVEN RD
Second Line	:	SUITE 115
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7514
Country	:	US
Telephone Number	:	757-498-4824
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 N LYNNHAVEN RD
Second Line	:	SUITE 115
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7514
Country	:	US
Telephone Number	:	757-498-4824
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRACY L M SAWYER
Credential	:	D.C.
Telephone Number	:	757-498-4824

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	06/16/2008

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Directions to “TRACY L M SAWYER ” Practice Location

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