Provider Demographics
NPI:1598973497
Name:GREG M. SAVOY MD A.P.M.C.
Entity Type:Organization
Organization Name:GREG M. SAVOY MD A.P.M.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAVOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-468-2767
Mailing Address - Street 1:1508 CAJUN DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MAMOU
Mailing Address - State:LA
Mailing Address - Zip Code:70554-2400
Mailing Address - Country:US
Mailing Address - Phone:337-468-2767
Mailing Address - Fax:337-468-4170
Practice Address - Street 1:1508 CAJUN DR
Practice Address - Street 2:SUITE B
Practice Address - City:MAMOU
Practice Address - State:LA
Practice Address - Zip Code:70554-2400
Practice Address - Country:US
Practice Address - Phone:337-468-2767
Practice Address - Fax:337-468-4170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0109932086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1099805Medicaid
LA55746Medicare ID - Type Unspecified