PROVIDENT HEALTH SERVICES, INC.

SAVANNAH, GA
NPI1225199383
Doing Business AsACI SURGICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactROBIN J. MADDOX
Provider Enrollment Coordinator
912-350-9335
Organization Subpart ?No
Primary Taxonomy2086X0206X Surgery, Surgical Oncology
Additional Taxonomies208600000X Surgery
Enumeration Date2006-12-13
Last Update Date2008-11-11
Business Address
PROVIDENT HEALTH SERVICES, INC.
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone number: 912-350-2299
Mailing Address
PROVIDENT HEALTH SERVICES, INC.
PO BOX 933213
ATLANTA, GA 31193
Phone number: 912-350-2299