Provider Demographics
NPI:1790779569
Name:SAVOY, RONALD JOHN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:JOHN
Last Name:SAVOY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 RED EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36067-7042
Mailing Address - Country:US
Mailing Address - Phone:334-365-3405
Mailing Address - Fax:
Practice Address - Street 1:300 S TWINING ST
Practice Address - Street 2:42ND MDG, ATTN:CREDENTIALS
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36112
Practice Address - Country:US
Practice Address - Phone:334-953-7567
Practice Address - Fax:334-953-4214
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA-171363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical