PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.

SAVANNAH, GA
NPI1316195373
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 Taxonomies207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
207Y00000X Otolaryngology
2086S0102X Surgery, Surgical Critical Care
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2008-09-03
Last Update Date2011-05-03
Business Address
PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone number: 912-350-2299
Mailing Address
PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.
PO BOX 102019
ATLANTA, GA 30368-2019
Phone number: 912-350-2299