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Contact Information

PROVIDENT HEALTH SERVICES, INC.
4700 WATERS AVE
SAVANNAH, GA31404-6220
 Phone: 912-350-8490
 Fax: 912-350-8199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Genetics (M.D.)

207SG0201X
 

Clinical Molecular Genetics

207SG0203X
Indicates primary specialty

NPI Profile & details for PROVIDENT HEALTH SERVICES INC · (Female)

NPI # 1679634612
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 11/12/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Other DF7661 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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