Lloyd S. Goodman, Md, P.C.

LBN: Provident Health Services, Inc.
Lloyd S. Goodman, Md, P.C. is an health care organization with primary practice located at 4700 Waters Ave Heart And Vascular Building, Savannah GA 31404-6220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Provident Health Services, Inc. can be contacted via phone (912) 350-8222, or through Maddox, Robin J. via phone (912) 350-9335.

Contact Information

Primary practice address
4700 Waters Ave Heart And Vascular Building Savannah GA 31404-6220
Phone: (912) 350-8222
Fax: (912) 350-8686
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Robin J.
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1346301546
LBN Legal business name Provident Health Services, Inc.
DBA Doing business as Lloyd S. Goodman, Md, P.C.
Authorized official Maddox, Robin J.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 12th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346301546 NPPES
South Carolina MEDICAID GPA893
South Carolina Other DA3772

Popular Providers