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General NPI Number Information
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NPI Number | 1326349580
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Entity Type | Organization
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Legal Business Name | SAVOY MEDICAL MANAGEMENT GROUP, INC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 704 POINCIANA AVE
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City | MAMOU
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State | LA
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Zip | 70554-2224
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Country | US
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Telephone | 337-468-4038
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Fax | 337-468-4042
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Provider Business Mailing Address
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Address Line | 704 POINCIANA AVE
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City | MAMOU
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State | LA
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Zip | 70554-2224
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Country | US
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Telephone | 337-468-4038
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Fax | 337-468-4042
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Authorized Official
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Title or Position | CEO
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Name | BRIAN DENTON
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Credential |
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Telephone | 337-468-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PENDING
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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