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Individual

DR. MASON PATRICK SAWYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C AND DMD

Contact information

Practice address
1061 HARMON AVE, 1D03, FORT STEWART, GA 31314
(912) 435-6633
Mailing address
2514 WARM SPRINGS RD, COLUMBUS, GA 31904-5640
(706) 326-0397

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015734
GA
363A00000X
Physician Assistant
PA-483
AL

Other

Enumeration date
10/13/2006
Last updated
08/11/2018
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