Gulf Coast Cancer Center at Brewton

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GULF COAST CANCER CENTER AT BREWTON

Practice address

1207 Azalea PL
Brewton, AL 36426-1337

Phone

(251) 867-6544

Fax

(770) 512-8937

NPI assigned

Mar 25, 2013

Last updated

Mar 25, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen M. Sawrie, MD

Title

Ceo

Phone

(251) 948-7897

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1447592712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD",
            "address_2": "300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054508",
            "telephone_number": "770-350-0126",
            "fax_number": "770-350-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 AZALEA PL",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261337",
            "telephone_number": "251-867-6544",
            "fax_number": "770-512-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CANCER CENTER AT BREWTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "SAWRIE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-948-7897",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gerety Pettis
• Porche Elaine-Tyrise Giles
• Misti Michelle Godwin, REGISTERED NURSE
• Stanley Richard Gordon, CRNA
• Gotoent P.L.L.C.
• Gulf Coast Orthopedics Specialists PA
• Audrey C. Guthrie, PA-C
• Sheri Darlene Guy, RPT
• Sonya Fuqua Hadaway, LPC
• Shai Tanyette Hall, DDS

• Specialist in Brewton, AL
• Providers in Brewton, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.