Provider Demographics
NPI:1356335681
Name:SAWYER, WILLIAM DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DANIEL
Last Name:SAWYER
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 1:101 E BRUNSON ST
Mailing Address - Street 2:STE 300
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330
Mailing Address - Country:US
Mailing Address - Phone:334-393-3212
Mailing Address - Fax:334-393-4979
Practice Address - Street 1:101 E BRUNSON ST
Practice Address - Street 2:STE 300
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330
Practice Address - Country:US
Practice Address - Phone:334-393-3212
Practice Address - Fax:334-393-4979
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL09262208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529912520Medicaid
AL051509767OtherBCBS
AL020053555OtherMEDICARE RAILROAD
AL529912520Medicaid
AL051509767OtherBCBS