Organization · Type 2 NPI

Provident Health Surgical Associates, Inc.

Surgical Oncology Physician · Okatie, SC

NPI number 1083862882 Active

Practice location

14 Okatie Center Blvd. South, Suite 101
Okatie, SC 29909

Fax (912) 350-2298

Mailing address

PO Box 102019
Atlanta, GA 30368-2019

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician 207VX0201XNone listed
Otolaryngology Physician 207Y00000XNone listed
Surgery Physician 208600000XNone listed
Surgical Critical Care Physician 2086S0102XNone listed
Surgical Oncology Physician Primary 2086X0206XNone listed

Surgical Oncology Physician: A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

5 other providers at this address

About NPI 1083862882

Provident Health Surgical Associates, Inc.'s National Provider Identifier is 1083862882, issued on Sep 4, 2008. The primary taxonomy on file is Surgical Oncology Physician (2086X0206X), and the practice location is in Okatie, SC. The record was last updated on May 3, 2011.