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Contact Information

PROVIDENT HEALTH SURGICAL ASSOCIATES
4700 WATERS AVE
SUITE 403
SAVANNAH, GA31404-6220
 Phone: 912-350-2299
 Fax: 912-350-2298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PROVIDENT HEALTH SURGICAL ASSOCIATES · (Female)

NPI # 1508144981
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2011
Last updated 08/02/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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