Provident Health Surgical Associates, Inc.

NPI #1316195373 in Savannah, Georgia

Provider Information

NPI Number: 1316195373
Entity Type: Organization
Organization Name: Provident Health Surgical Associates, Inc.
Primary Specialty: Surgery - Surgical Oncology
Enumeration Date: Sep 3, 2008
Last Updated: May 3, 2011

Practice Location

Address: 4700 WATERS AVE
City: Savannah
State: Georgia
ZIP Code: 31404-6220
Phone: (912) 350-2299

Authorized Official

Name: MRS. ROBIN J. MADDOX
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (912) 350-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology	207VX0201X
Otolaryngology	207Y00000X
Surgery - Surgical Critical Care — Surgical Critical Care	2086S0102X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. James Ingram Scott, M.D.	Surgery - Surgical Oncology	Savannah	AI Deep Dive
James C. Garber, MD	Surgery - Surgical Oncology	Savannah	AI Deep Dive
DR. Leonard R Henry, MD	Surgery - Surgical Oncology	Savannah	AI Deep Dive

Organizations

Provider Name	Specialty	City
Cancer Care Pavilion INC	Surgery - Surgical Oncology	Savannah	AI Deep Dive
Provident Health Services, Inc.	Surgery - Surgical Oncology	Savannah	AI Deep Dive

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