Provider Demographics
NPI:1417148859
Name:SAWYER, LEIGH ALEXANDER (L AC)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ALEXANDER
Last Name:SAWYER
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:LEIGH
Other - Middle Name:ELIZABETH
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:417 YARBROUGH RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:GA
Mailing Address - Zip Code:30217-3521
Mailing Address - Country:US
Mailing Address - Phone:415-516-5028
Mailing Address - Fax:
Practice Address - Street 1:210 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3738
Practice Address - Country:US
Practice Address - Phone:770-317-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11641171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist