PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.

SAVANNAH, GA
NPI1912149907
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 Date2009-04-06
Last Update Date2011-05-03
Business Address
PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.
4750 WATERS AVE SUITE 103
SAVANNAH, GA 31404-6200
Phone number: 912-350-2299
Mailing Address
PROVIDENT HEALTH SURGICAL ASSOCIATES, INC.
PO BOX 102019
ATLANTA, GA 30368-2019
Phone number: 912-350-2299