Basic Information
Provider Information
NPI: 1972722494
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAWYER
FirstName: MARGARET
MiddleName: STERRETT
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3014 WHITE BARK PL
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432214737
CountryCode: US
TelephoneNumber: 6144251750
FaxNumber:  
Practice Location
Address1: 395 W 12TH AVE
Address2: 6TH FLOOR
City: COLUMBUS
State: OH
PostalCode: 432101267
CountryCode: US
TelephoneNumber: 6142938704
FaxNumber: 6142934063
Other Information
ProviderEnumerationDate: 04/24/2007
LastUpdateDate: 07/06/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X35-085962OHY Allopathic & Osteopathic PhysiciansSurgery 

ID Information
IDTypeStateIssuerDescription
35-08596201OHSTATE MEDICAL LICENSEOTHER


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