Provider Demographics
NPI:1578076022
Name:DEMARIO SAWYER SR A 1 TRANSPORTATION
Entity Type:Organization
Organization Name:DEMARIO SAWYER SR A 1 TRANSPORTATION
Other - Org Name:A1 TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEMARIO
Authorized Official - Middle Name:ANDRELL
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-393-8667
Mailing Address - Street 1:4300 SAINT ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4167
Mailing Address - Country:US
Mailing Address - Phone:803-828-9460
Mailing Address - Fax:855-477-2265
Practice Address - Street 1:4300 SAINT ANDREWS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4167
Practice Address - Country:US
Practice Address - Phone:803-828-9460
Practice Address - Fax:855-477-2265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC622341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance