National Provider Identifier Database

PROVIDENT HEALTH SERVICES INC
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.


Contact Information

PROVIDENT HEALTH SERVICES, INC.
7 MALLET WAY
BLUFFTON, SC29910-6064
Phone: 912-350-7412
Fax: 912-350-7297
Website:
Specialty Taxonomy Code
* Surgery 208600000X
Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for PROVIDENT HEALTH SERVICES, INC.

NPI Number 1366519530
Legal business name
LBN
PROVIDENT HEALTH SERVICES, INC.
Authorized official ROBIN MADDOX - (PROVIDER ENROLLMENT COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 11/30/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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