Organization · Type 2 NPI

Provident Health Services, Inc.

Surgery Physician · Bluffton, SC

NPI number 1366519530 Active

Practice location

7 Mallet Way
Bluffton, SC 29910-6064

Call (912) 350-7412 Map

Fax (912) 350-7297

Mailing address

PO Box 933213
Atlanta, GA 31193-1968

Specialties and licenses

Taxonomy	Code	License
Surgery Physician Primary	208600000X	None listed
Surgical Oncology Physician	2086X0206X	None listed

Surgery Physician: 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 increasin…

2 other providers at this address

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About NPI 1366519530

Provident Health Services, Inc.'s National Provider Identifier is 1366519530, issued on Nov 30, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Bluffton, SC. The record was last updated on Sep 11, 2025.