Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENT HEALTHCARE LLC
Active OrganizationPROVIDENT HEALTHCARE LLC is a Gastroenterology organization located in MARIETTA, Georgia. NPI 1154706075 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · MARIETTA, GA
Registration Details
- NPI Number
- 1154706075
- Provider Type
- Organization
- NPI Issued
- Jul 21, 2015 (11.096524181261 yrs)
- Last Updated
- Jul 22, 2015
- Licenses
-
07088 (GA)07088 (GA)07088 (GA)
Practice Information
- Address
-
3505 LASSITER FALLS DR NEMARIETTA, GA, 300624199Browse GA providers · Browse ZIP 30062
- Phone
- 4149169031
- Primary Specialty
-
Gastroenterology
207RG0300X
- Additional Specialty
- Hematology
- Additional Specialty
- Gastroenterology
Other Gastroenterology Organizations in MARIETTA, GA
| Name | NPI |
|---|---|
| JOSEPH L. MICCA, MD | 1386917425 |
| SYNERGY REHAB PC | 1356100606 |
| CONTINUUM MEDICAL PARTNERS INC | 1902627839 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.