Provident Health Services, Inc. in Atlanta - Clinical Genetics (m.d.)
Provident Health Services, Inc. - NPI 1679634612
Provident Health Services, Inc. is a Clinical Genetics (m.d.) in Atlanta, Georgia. Provident Health Services, Inc. practices all healthcare services and medical treatments related to Clinical Genetics (m.d.). The NPI Number for Provident Health Services, Inc. is 1679634612. The last update date is 2007-11-12.
Provident Health Services, Inc.'s current location address is Po Box 933213, Atlanta, Georgia. You can contact this provider via phone number 9123508490 and fax number 9123508199. The mailing address for Provident Health Services, Inc. is Po Box 933213, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Provident Health Services, Inc. |
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Address | Po Box 933213, Atlanta, Georgia |
Phone Number | 9123508490 |
Fax Number | 9123508199 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PROVIDER E |
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Authorized Official Name | Maddox J. Robin |
Telephone Number | 9123509335 |
NPI Number Detail
NPI Number | 1679634612 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2007-11-12 |
Provider Mailing Address Detail
Address | Po Box 933213 |
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City | Atlanta |
State | Georgia (GA) |
Post Code | 311933213 |
Phone Number | 9123508490 |
Fax Number | 9123508199 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Genetics (m.d.) |
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Taxonomy | 207Sg0201X |
Definition: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
DF7661 | SC | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Provident Health Services, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Provident Health Services, Inc. has been assigned the NPI (National Provider Identifier) 1679634612. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Provident Health Services, Inc. is physically located?
The Provident Health Services, Inc. is physically situated at the following address: Po Box 933213, Atlanta, GA, 311933213.
What is the Provident Health Services, Inc.'s area of specialization and corresponding taxonomy classification?
The Provident Health Services, Inc.'s specialty field is Clinical Genetics (m.d.), and it falls under the taxonomy code 207Sg0201X, which categorizes healthcare providers based on their specialties.
When did Provident Health Services, Inc. receive its 1679634612 assignment?
The Provident Health Services, Inc. was assigned its 1679634612 on 2006-12-13, which is the date when this unique identifier was issued to the organization.
As of what date were the Provident Health Services, Inc.'s details last updated?
The information pertaining to the Provident Health Services, Inc., including its address, specialty, and other details, was most recently updated on 2007-11-12.