PROVIDENT HEALTH SERVICES, INC.

BLUFFTON, SC
NPI1366519530
Doing Business AsACI SURGICAL ASSOCIATES
Entity TypeOrganization
Authorized ContactROBIN J. MADDOX
Provider Enrollment COO Rdinator
912-350-9335
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Additional Taxonomies2086X0206X Surgery Surgical Oncology
Enumeration Date2006-11-30
Last Update Date2020-08-22
Business Address
PROVIDENT HEALTH SERVICES, INC.
7 MALLET WAY
BLUFFTON, SC 29910-6064
Phone number: 912-350-7412
Mailing Address
PROVIDENT HEALTH SERVICES, INC.
PO BOX 933213
ATLANTA, GA 31193-1968
Phone number: 912-350-7412