Provident Health Surgical Associates, Inc
Provident Health Surgical Associates, Inc is a Gynecologic Oncology Physician in Okatie, South Carolina. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 5
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14 Okatie Center Blvd S Ste 101Okatie, SC 29909
Phone: (912) 350-2299
Fax: (912) 350-2298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Oncology Physician (primary) | Taxonomy 2086X0206X |
|---|---|
| Gynecologic Oncology Physician | Taxonomy 207VX0201X |
| Otolaryngology Physician | Taxonomy 207Y00000X |
| Surgery Physician | Taxonomy 208600000X |
| Surgical Critical Care Physician | Taxonomy 2086S0102X |
Record details
| NPI number | 1083862882 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robin Maddox — Provider Enrollment Coordinator · (912) 350-9335 |
| Other names | Aci Surgical Associates |
| NPI enumerated | September 4, 2008 |
| Last updated in NPPES | May 3, 2011 |
| Mailing address | Po Box 102019, Atlanta, GA 30368-2019 |
Other providers in Okatie
-
Mppg, Inc
14 Okatie Center Blvd S Ste 101, Okatie, SC 29909-7506 · (912) 350-2299