Healthcare Provider Details

I. General information

NPI: 1871675462
Provider Name (Legal Business Name): RENATA A. SAWYER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RENATA A. WILCZEK M.D.

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 W FARIS RD STE 470
GREENVILLE SC
29605-4281
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-455-1600
  • Fax: 864-455-3095
Mailing address:
  • Phone: 864-522-8611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number81751
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: