Provider Demographics
NPI:1043235070
Name:SAWMILLER, CAROL JOANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:JOANNE
Last Name:SAWMILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3533 SOUTHERN BLVD
Mailing Address - Street 2:SUITE 2250
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1264
Mailing Address - Country:US
Mailing Address - Phone:937-534-0330
Mailing Address - Fax:937-534-0340
Practice Address - Street 1:3533 SOUTHERN BLVD
Practice Address - Street 2:SUITE 2250
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1264
Practice Address - Country:US
Practice Address - Phone:937-534-0330
Practice Address - Fax:937-534-0340
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-088139208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH325150Medicare PIN