Provident Health Surgical Associates, Inc. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician based in Atlanta, GA. Provident Health Surgical Associates, Inc. practices in Savannah, GA. The NPI Number for Provident Health Surgical Associates, Inc. is 1316195373 and holds a License No. (Georgia).
The current practice location address for Provident Health Surgical Associates, Inc. is 4700 Waters Ave, Savannah, GA and can be reached out via phone at 912-350-2299 and via fax at 912-350-2298.
Location: 4700 Waters Ave, Savannah, GA, 30368-2019
Provider Profile Details
NPI Number
1316195373
Provider Name
Provident Health Surgical Associates, Inc.
Credential
Provider Entity Type
Organization
Address
4700 Waters Ave, Savannah, GA, 30368-2019
Phone Number
912-350-2299
Fax Number
912-350-2298
Provider Enumeration Date
09/03/2008
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824884292A | 05 | GA | |
| DO4198 | 01 | SC | RR MEDICARE |
| DO4195 | 01 | GA | RR MEDICARE |
| GPA978 | 05 | SC |
Provider Business Practice Location Address Details
Address
4700 Waters Ave
City
State
Zip
31404-6220
Phone Number
912-350-2299
Fax Number
912-350-2298
Provider Business Mailing Address Details
Address
4700 Waters Ave
City
State
Zip
31404-6220
Phone Number
912-350-2299
Fax Number
912-350-2298
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
License No.
()
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
License No.
()
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Oncology
Taxonomy
License No.
()
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
License No.
()
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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