Clinical Genetics Associates
LBN: Provident Health Services, Inc.
Clinical Genetics Associates is an health care organization with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Molecular Genetics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is the primary health care specialty.
Provident Health Services, Inc. can be contacted via phone (912) 350-8490, or through Maddox, Robin J. via phone (912) 350-9335.
Contact Information
Primary practice address
4700 Waters Ave
Savannah GA 31404-6220
Phone: (912) 350-8490
Fax: (912) 350-8199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | ||
| Allopathic & Osteopathic Physicians / Clinical Molecular Genetics | 207SG0203X |
Profile Details
| NPI number | 1679634612 |
|---|---|
| LBN Legal business name | Provident Health Services, Inc. |
| DBA Doing business as | Clinical Genetics Associates |
| Authorized official | Maddox, Robin J. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679634612 | NPPES |
| South Carolina | Other | DF7661 | RR MEDICARE |
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