Organization · Type 2 NPI

Provident Health Services, Inc.

Clinical Genetics (M.D.) Physician · Savannah, GA

NPI number 1679634612 Active

Practice location

4700 Waters Ave
Savannah, GA 31404-6220

Call (912) 350-8490 Map

Fax (912) 350-8199

Mailing address

PO Box 933213
Atlanta, GA 31193-3213

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician Primary 207SG0201XNone listed
Clinical Molecular Genetics Physician 207SG0203XNone listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

551 other providers at this address

About NPI 1679634612

Provident Health Services, Inc.'s National Provider Identifier is 1679634612, issued on Dec 13, 2006. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Savannah, GA. The record was last updated on Nov 12, 2007.