Organization
SAVOY MEDICAL MANAGEMENT GROUP, INC.
Active
Other names
Savoy Medical Center Hospital Based Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DENTON (PRESIDENT)
(337) 468-5261
Entity
Organization
Contact information
Practice address
801 POINCIANA AVE, MAMOU, LA 70554
(337) 468-5261
(337) 468-3342
Mailing address
801 POINCIANA AVE, MAMOU, LA 70554-2243
(337) 468-5261
(337) 468-3342
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796590
—
LA
01
—
5DM80
MEDICARE PTAN
LA
Enumeration date
12/10/2009
Last updated
07/23/2025
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