Basic Information
Provider Information
NPI: 1750555629
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAWYER
FirstName: JOSHUA
MiddleName: WARD
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6305 WOLFHEAD CT
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284118333
CountryCode: US
TelephoneNumber: 2529168744
FaxNumber:  
Practice Location
Address1: 4402 SHIPYARD BLVD
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284036161
CountryCode: US
TelephoneNumber: 9102023363
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/22/2008
LastUpdateDate: 09/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X2013-01551NCY Allopathic & Osteopathic PhysiciansEmergency Medicine 
207R00000X2013-01551NCN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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