Provider Demographics
NPI:1841339231
Name:SAWYER, NINA TAYLOR
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:TAYLOR
Last Name:SAWYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:JEAN
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 W CHURCH ST STE A
Mailing Address - Street 2:
Mailing Address - City:BATESBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29006-2107
Mailing Address - Country:US
Mailing Address - Phone:803-532-8414
Mailing Address - Fax:803-532-4570
Practice Address - Street 1:120 W CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:BATESBURG
Practice Address - State:SC
Practice Address - Zip Code:29006-2107
Practice Address - Country:US
Practice Address - Phone:803-532-8414
Practice Address - Fax:803-532-4570
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24855163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health