Provider Demographics
NPI:1760416051
Name:SAWYER, DONALD E (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:SAWYER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1500 WOODROW WILSON DRIVE
Mailing Address - Street 2:SURGICAL SERVICE 112
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-5199
Mailing Address - Country:US
Mailing Address - Phone:601-364-1358
Mailing Address - Fax:601-364-1357
Practice Address - Street 1:1500 E WOODROW WILSON AVE
Practice Address - Street 2:SURGICAL SERVICE 112
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-5116
Practice Address - Country:US
Practice Address - Phone:601-364-1358
Practice Address - Fax:601-364-1357
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS16259208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
91906Medicare UPIN