PROVIDENT HEALTH SURGICAL ASSOCIATES

SAVANNAH, GA
NPI1508144981
Doing Business AsACI SURGICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactROBIN J. MADDOX
Provider Enrollment Coordinator
912-350-9335
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Additional Taxonomies2086X0206X Surgery, Surgical Oncology
Enumeration Date2011-08-02
Last Update Date2011-08-02
Business Address
PROVIDENT HEALTH SURGICAL ASSOCIATES
4700 WATERS AVE SUITE 403
SAVANNAH, GA 31404-6220
Phone number: 912-350-2299
Mailing Address
PROVIDENT HEALTH SURGICAL ASSOCIATES
4700 WATERS AVE SUITE 403
SAVANNAH, GA 31404-6220
Phone number: 912-350-2299