Healthcare Provider Details

I. General information

NPI: 1457266397
Provider Name (Legal Business Name): JAIDYN ANAYA SAWYER BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 JUDGE THELMA C MOORE WAY # 5024
ATLANTA GA
30310-1408
US

IV. Provider business mailing address

451 JUDGE THELMA C MOORE WAY # 5024
ATLANTA GA
30310-1408
US

V. Phone/Fax

Practice location:
  • Phone: 678-543-4107
  • Fax:
Mailing address:
  • Phone: 678-543-4107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberNA
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: