PROVIDENT HEALTH SERVICES, INC.

SAVANNAH, GA
NPI1700947900
Doing Business AsLLOYD S. GOODMAN, M.D.
Entity TypeOrganization
Authorized ContactROBIN J. MADDOX
Provider Enrollment Coordinator
912-350-9335
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2006-12-12
Last Update Date2007-11-12
Business Address
PROVIDENT HEALTH SERVICES, INC.
1101 LEXINGTON AVE
SAVANNAH, GA 31404-5502
Phone number: 912-350-8222
Mailing Address
PROVIDENT HEALTH SERVICES, INC.
PO BOX 933213
ATLANTA, GA 31193-3213
Phone number: 912-350-8222