Provident Health Services, Inc. in Atlanta - Clinical Molecular Genetics

Provident Health Services, Inc. - NPI 1679634612

Provident Health Services, Inc. is a Clinical Molecular Genetics in Atlanta, Georgia. Provident Health Services, Inc. practices all healthcare services and medical treatments related to Clinical Molecular Genetics. 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.
Address Po Box 933213, Atlanta, Georgia
Phone Number 9123508490
Fax Number 9123508199
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROVIDER E
Authorized Official Name Maddox J. Robin
Telephone Number 9123509335

NPI Number Detail

NPI Number 1679634612
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-11-12

Provider Mailing Address Detail

Address Po Box 933213
City Atlanta
State Georgia (GA)
Post Code 311933213
Phone Number 9123508490
Fax Number 9123508199

Provider's Primary Taxonomy Detail

Speciality Clinical Molecular Genetics
Taxonomy 207Sg0203X
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 inheri

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DF7661 SC RR MEDICARE

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FAQs about Provident Health Services, Inc.

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 Molecular Genetics, and it falls under the taxonomy code 207Sg0203X, 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.

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