Provider Demographics
NPI:1932164423
Name:SAVOY, DAVID C (ROF)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:C
Last Name:SAVOY
Suffix:
Gender:M
Credentials:ROF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1471
Mailing Address - Street 2:106 MEDICAL DRIVE
Mailing Address - City:ELIZ CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909
Mailing Address - Country:US
Mailing Address - Phone:252-338-3002
Mailing Address - Fax:252-338-2902
Practice Address - Street 1:106 MEDICAL DRIVE
Practice Address - Street 2:
Practice Address - City:ELIZ CITY
Practice Address - State:NC
Practice Address - Zip Code:27909
Practice Address - Country:US
Practice Address - Phone:252-338-3002
Practice Address - Fax:252-338-2902
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRFO0213225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701327Medicaid
7795162OtherUNDIVID EDS
VA9190511Medicaid
NC0482POtherBCBS
VA384410OtherBCBS
NC7701327Medicaid