Healthcare Provider Details

I. General information

NPI: 1336128529
Provider Name (Legal Business Name): NANCY JANE SAWYER M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 20TH ST S
BIRMINGHAM AL
35205-4998
US

IV. Provider business mailing address

PO BOX 11523
BIRMINGHAM AL
35202-1523
US

V. Phone/Fax

Practice location:
  • Phone: 205-212-5600
  • Fax: 205-212-5660
Mailing address:
  • Phone: 205-212-5600
  • Fax: 205-212-5660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4148
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: