Provider Demographics
NPI:1003356940
Name:SAWYER, DONALD III
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:SAWYER
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27101-3209
Mailing Address - Country:US
Mailing Address - Phone:336-972-5760
Mailing Address - Fax:
Practice Address - Street 1:1450 E 11TH ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-3209
Practice Address - Country:US
Practice Address - Phone:336-972-5760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-25
Last Update Date:2017-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist