PROVIDENT HEALTH SERVICES, INC.

SAVANNAH, GA
NPI1679634612
Doing Business AsCLINICAL GENETICS ASSOCIATES
Entity TypeOrganization
Authorized ContactROBIN J. MADDOX
Provider Enrollment Coordinator
912-350-9335
Organization Subpart ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
Additional Taxonomies207SG0203X Medical Genetics, Clinical Molecular Genetics
Enumeration Date2006-12-13
Last Update Date2007-11-12
Business Address
PROVIDENT HEALTH SERVICES, INC.
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone number: 912-350-8490
Mailing Address
PROVIDENT HEALTH SERVICES, INC.
PO BOX 933213
ATLANTA, GA 31193-3213
Phone number: 912-350-8490