Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provident Health Services, Inc

Organization Clinical Genetics (M.D.) Physician · NPI 1679634612

Provident Health Services, Inc is a Clinical Genetics (M.D.) Physician in Savannah, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4700 Waters Ave
Savannah, GA 31404-6220
Phone: (912) 350-8490
Fax: (912) 350-8199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X
Clinical Molecular Genetics Physician Taxonomy 207SG0203X

Record details

NPI number1679634612
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Maddox — Provider Enrollment Coordinator · (912) 350-9335
Other names Clinical Genetics Associates
NPI enumeratedDecember 13, 2006
Last updated in NPPESNovember 12, 2007
Mailing addressPo Box 933213, Atlanta, GA 31193-3213