PROVIDENT HEALTH SERVICES INC. NPI 1679634612

NPI Information

PROVIDENT HEALTH SERVICES, INC. is a clinical genetics (m.d.) medical genetics in Savannah, GA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. PROVIDENT HEALTH SERVICES, INC. NPI is 1679634612. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinical Genetics Associates.

The provider's business location address is:

4700 WATERS AVE
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-8490
Fax: (912) 350-8199

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 11/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.