Provider Demographics
NPI:1912049420
Name:SAWYER, LESLIE ROBINSON (MD)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:ROBINSON
Last Name:SAWYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 W SPRING ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-2973
Mailing Address - Country:US
Mailing Address - Phone:256-208-0060
Mailing Address - Fax:256-208-0755
Practice Address - Street 1:209 W SPRING ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2973
Practice Address - Country:US
Practice Address - Phone:256-208-0060
Practice Address - Fax:256-208-0755
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27850208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL165639Medicaid