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Provident Health Services, Inc.
Clinical Molecular Genetics Physician in Savannah, Georgia
NPI 1679634612

Provident Health Services, Inc. is a Clinical Molecular Genetics Physician based in Atlanta, GA and is specialized in Clinical Molecular Genetics. Provident Health Services, Inc. practices in Savannah, GA. The NPI Number for Provident Health Services, Inc. is 1679634612 and holds a License No. (Georgia).

The current practice location address for Provident Health Services, Inc. is 4700 Waters Ave, Savannah, GA and can be reached out via phone at 912-350-8490 and via fax at 912-350-8199. You can also correspond with Provident Health Services, Inc. through the mailing address at PO BOX 933213, ATLANTA, GA - 31193-3213 (mailing address contact number: 912-350-8490).

Location: 4700 Waters Ave, Savannah, GA, 31193-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679634612
Provider Name
Provident Health Services, Inc.
Credential
Provider Entity Type
Organization
Address
4700 Waters Ave, Savannah, GA, 31193-3213
Phone Number
912-350-8490
Fax Number
912-350-8199
Provider Enumeration Date
12/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DF7661 01 SC RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
4700 Waters Ave
City
Savannah
State
Georgia
Zip
31404-6220
Phone Number
912-350-8490
Fax Number
912-350-8199
person
Provider Business Mailing Address Details
Address
Po Box 933213
City
Atlanta
State
Georgia
Zip
31193-3213
Phone Number
912-350-8490
Fax Number
912-350-8199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
()
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Molecular Genetics
Taxonomy
207SG0203X
License No.
()
Definition
A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.
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