Provider Demographics
NPI:1689635146
Name:SAWYER, MARTIN ROBERT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:ROBERT
Last Name:SAWYER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2300 RAMSEY ST
Mailing Address - Street 2:VAMC
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3856
Mailing Address - Country:US
Mailing Address - Phone:910-822-7998
Mailing Address - Fax:910-482-5286
Practice Address - Street 1:2300 RAMSEY ST
Practice Address - Street 2:VAMC
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3856
Practice Address - Country:US
Practice Address - Phone:910-822-7998
Practice Address - Fax:910-482-5286
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC102372363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical