Healthcare Provider Details

I. General information

NPI: 1457473068
Provider Name (Legal Business Name): SACHA H GUTIERREZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3613 HIGHWAY 153
POWDERSVILLE SC
29611-7516
US

IV. Provider business mailing address

336 SUNNYBROOK LN
GREER SC
29650-4671
US

V. Phone/Fax

Practice location:
  • Phone: 864-307-8840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number91254
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberD61881
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: