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Contact Information

PROVIDENT HEALTH SERVICES, INC.
4700 WATERS AVE
SAVANNAH, GA31404-6220
 Phone: 912-350-2299
 Fax: 912-350-2298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1225199383
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2006
Last updated 11/11/2008 - About 18 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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