Healthcare Provider Details

I. General information

NPI: 1972855450
Provider Name (Legal Business Name): SAWRIE ONCOLOGY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2012
Last Update Date: 10/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 AZALEA PL
BREWTON AL
36426-1337
US

IV. Provider business mailing address

1207 AZALEA PL
BREWTON AL
36426-1337
US

V. Phone/Fax

Practice location:
  • Phone: 251-867-6544
  • Fax: 251-867-6658
Mailing address:
  • Phone: 251-867-6544
  • Fax: 251-867-6658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN SAWRIE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 251-867-6544