PROVIDENT HEALTHCARE LLC

Internal Medicine - Geriatric Medicine

Active Organization
NPI: 1154706075

Practice Address

3505 LASSITER FALLS DR NE
Marietta, GA 30062

Phone: (414) 916-9031

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 07088 (GA)
Internal Medicine - Hospice and Palliative Medicine 207RH0002X No 07088 (GA)
Internal Medicine - Geriatric Medicine 207RG0300X Yes 07088 (GA)

Frequently Asked Questions

NPI 1154706075 is the National Provider Identifier for PROVIDENT HEALTHCARE LLC, a Internal Medicine - Geriatric Medicine provider located in Marietta, GA. This NPI was enumerated on July 21, 2015.

Quick Facts

NPI
1154706075
Type
Organization
Enumerated
Jul 21, 2015
Last Updated
Jul 22, 2015

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