Provident Health Surgical Associates, Inc.
NPI #1083862882 in Okatie, South Carolina
Provider Information
- NPI Number
- 1083862882
- Entity Type
- Organization
- Organization Name
- Provident Health Surgical Associates, Inc.
- Primary Specialty
- Surgery - Surgical Oncology
- Enumeration Date
- Sep 4, 2008
- Last Updated
- May 3, 2011
Practice Location
- Address
- 14 OKATIE CENTER BLVD. SOUTH
- Address 2
- SUITE 101
- City
- Okatie
- State
- South Carolina
- ZIP Code
- 29909
- Phone
- (912) 350-2299
Authorized Official
- Name
- MRS. ROBIN J. MADDOX
- Title
- PROVIDER ENROLLMENT COORDINATOR
- Phone
- (912) 350-9335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
| Otolaryngology |
| Surgery |
| Surgery - Surgical Critical Care — Surgical Critical Care |
| Surgery - Surgical Oncology — Surgical Oncology |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Mark A Lockett, M.D. | |
| David M Mahvi, MD | |
| Mary Bernadette Rippon, M.D. | |
| Brian Patrick Mckinley, M.D. |
Organizations
| Provider Name | |
|---|---|
| Cancer Specialists of Charleston, PA |
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