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NPI Code Detail

MEDICARE: DAVID THOMAS SAWYER MD

MEDICARE: DAVID THOMAS SAWYER MD
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
1207RC0000XCardiovascular Disease Physician9501084NC
2207R00000XInternal Medicine Physician9501084NC

General Provider Information

NPI Number : 1710971577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID THOMAS SAWYER MD
Provider Business Mailing Address
First Line : PO BOX 936857
Second Line :
City : ATLANTA
State : GA
Zip : 31193-6857
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1415 PHYSICIANS DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7338
Country : US
Telephone Number : 910-662-9500
Fax Number : 910-668-9501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 12/26/2023

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