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

Provident Health Services, Inc

Organization Surgery Physician · NPI 1366519530

Provident Health Services, Inc is a Surgery Physician in Bluffton, South Carolina. 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

7 Mallet Way
Bluffton, SC 29910-6064
Phone: (912) 350-7412
Fax: (912) 350-7297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Surgical Oncology Physician Taxonomy 2086X0206X

Record details

NPI number1366519530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Maddox — Provider Enrollment Coordinator · (912) 350-9335
Other names Aci Surgical Associates
NPI enumeratedNovember 30, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 933213, Atlanta, GA 31193-1968

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