Provider Demographics
NPI:1639152556
Name:SAVILLE, AUGUSTUS HUNTER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:AUGUSTUS
Middle Name:HUNTER
Last Name:SAVILLE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 MACON ST
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36027-5019
Mailing Address - Country:US
Mailing Address - Phone:334-687-7372
Mailing Address - Fax:334-687-2605
Practice Address - Street 1:324 MACON ST
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-1810
Practice Address - Country:US
Practice Address - Phone:334-687-7372
Practice Address - Fax:334-687-2605
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10060174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC74989Medicare UPIN
AL000016621Medicare ID - Type Unspecified