Doctor Name: | DR. HORACE KIMBRELL SAWYER |
NPI Number: | 1104032382 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 010362 |
Business Practice Address: | 822 Industrial Blvd Ellijay, GA - 305403804 |
Business Phone Number: | 7062764741 |
Business Fax Number: | 7062764645 |
Mailing Address: | 822 Industrial Blvd, ELLIJAY |
State: | GA |
Postal Code: | 305403804 |
Phone Number: | 7062764741 |
Fax Number: | 7062764645 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 12/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 010362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |