National Provider Identifier Database

PROVIDENT HEALTH SERVICES INC
Surgical Oncology

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.


Contact Information

PROVIDENT HEALTH SERVICES, INC.
4700 WATERS AVE
SAVANNAH, GA31404-6220
Phone: 912-350-2299
Fax: 912-350-2298
Website:
Specialty Taxonomy Code
* Surgical Oncology 2086X0206X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for PROVIDENT HEALTH SERVICES, INC.

NPI Number 1225199383
Legal business name
LBN
PROVIDENT HEALTH SERVICES, INC.
Authorized official ROBIN MADDOX - (PROVIDER ENROLLMENT COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 12/13/2006
Last updated 11/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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