Aci Surgical Associates
LBN: Provident Health Surgical Associates, Inc.
Aci Surgical Associates is an health care organization with primary practice located at 4750 Waters Ave Suite 103, Savannah GA 31404-6200. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is the primary health care specialty.
Provident Health Surgical Associates, Inc. can be contacted via phone (912) 350-2299, or through Maddox, Robin J via phone (912) 350-9335.
Contact Information
Primary practice address
4750 Waters Ave Suite 103
Savannah GA 31404-6200
Phone: (912) 350-2299
Fax: (912) 350-2298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X |
Profile Details
| NPI number | 1912149907 |
|---|---|
| LBN Legal business name | Provident Health Surgical Associates, Inc. |
| DBA Doing business as | Aci Surgical Associates |
| Authorized official | Maddox, Robin J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2009 |
| Last updated | May 3rd, 2011 - about 15 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 | 1912149907 | NPPES |
| Georgia | MEDICAID | 824884292A | |
| Georgia | Other | DO4195 |
Popular Providers
-
University Of Connecticut Health Center
263 Farmington Ave , Farmington CT 06030-0001 -
Cancer Care Pavilion Inc
225 Candler Dr. Ste 224, Savannah GA 31405 -
Dmitri Alden, Md,Pc
110 Main St Suite 2C, Poughkeepsie NY 12601-6707 -
Central Texas Medical Specialists Pllc
9715 Burnet Rd Bldg 7, Ste 200, Austin TX 78758-5215 -
Provident Health Surgical Associates
4700 Waters Ave Suite 403, Savannah GA 31404-6220 -
Mppg, Inc.
4700 Waters Ave , Savannah GA 31404-6220 -
Rowansom Dept Of Surgery
42 E Laurel Rd Udp, Suite 2500, Stratford NJ 08084-1354 -
Southwest Surgical Oncology Associates
7777 Forest Ln Ste C585, Dallas TX 75230-2505