PROVIDENT HEALTHCARE LLC is a geriatric medicine internal medicine in Marietta, GA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. PROVIDENT HEALTHCARE LLC NPI is 1154706075. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3505 LASSITER FALLS DR NE
MARIETTA, GA
ZIP 30062-199
Phone: (414) 916-9031
The provider's authorized official is Lakshman K Dinavahi .
The authorized official title is Chief Medical Officer and has the following contact phone number (678) 390-0120.
The enumeration date for this NPI number is 7/21/2015 and was last updated on 7/22/2015.