Provider Demographics
NPI:1740933183
Name:SAWYER, JOSEPH D (NP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:D
Last Name:SAWYER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CHASE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:REHOBETH
Mailing Address - State:AL
Mailing Address - Zip Code:36301-9234
Mailing Address - Country:US
Mailing Address - Phone:386-965-6679
Mailing Address - Fax:
Practice Address - Street 1:103 CHASE RIDGE DR
Practice Address - Street 2:
Practice Address - City:REHOBETH
Practice Address - State:AL
Practice Address - Zip Code:36301-9234
Practice Address - Country:US
Practice Address - Phone:386-965-6679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-156814363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner