Healthcare Provider Details

I. General information

NPI: 1801034897
Provider Name (Legal Business Name): SAWYERS HEALTHY CHOICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2009
Last Update Date: 01/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N CALVERT ST STE 649
BALTIMORE MD
21202-1881
US

IV. Provider business mailing address

10 N CALVERT ST STE 649
BALTIMORE MD
21202-1881
US

V. Phone/Fax

Practice location:
  • Phone: 410-605-7234
  • Fax:
Mailing address:
  • Phone: 410-605-7234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD09337
License Number StateMD

VIII. Authorized Official

Name: ROBERT SAWYER
Title or Position: PRESIDENT
Credential: MD
Phone: 410-605-7234