Organization
SAVOY MEDICAL CENTER - PHYSICIANS
Active
Other names
Savoy Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT FLAKE (CFO)
(337) 468-0128
Entity
Organization
Contact information
Practice address
801 POINCIANA AVE, MAMOU, LA 70554-2243
(337) 468-5261
(337) 468-3342
Mailing address
PO BOX 53008, LAFAYETTE, LA 70505-3008
(337) 468-5261
(337) 468-3342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796590
—
LA
01
—
5D046
MEDICARE PTAN
—
Enumeration date
10/07/2010
Last updated
10/07/2010
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