Provider Demographics
NPI:1518085679
Name:SAYES FAMILY MEDICAL CORPORATION APMC
Entity Type:Organization
Organization Name:SAYES FAMILY MEDICAL CORPORATION APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:R.
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-447-2629
Mailing Address - Street 1:206 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-3306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 E 2ND ST
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-3306
Practice Address - Country:US
Practice Address - Phone:985-447-2629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5R843Medicare PIN
LA5CP28Medicare ID - Type Unspecified