Provider Demographics
NPI:1942313861
Name:TU, JIMMY SAWYER (MD)
Entity Type:Individual
Prefix:DR
First Name:JIMMY
Middle Name:SAWYER
Last Name:TU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 501
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-1599
Mailing Address - Country:US
Mailing Address - Phone:205-344-9021
Mailing Address - Fax:205-344-9031
Practice Address - Street 1:1251 MCFARLAND BLVD NE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2205
Practice Address - Country:US
Practice Address - Phone:205-349-2323
Practice Address - Fax:205-349-1155
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12148207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00008959Medicare ID - Type UnspecifiedMEDICARE RAILROAD
ALC70478Medicare UPIN