Aci Surgical Associates

LBN: Provident Health Surgical Associates, Inc.
Aci Surgical Associates is an health care organization with primary practice located at 14 Okatie Center Blvd. South Suite 101, Okatie SC 29909. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is the primary health care specialty. Provident Health Surgical Associates, Inc. can be contacted via phone (912) 350-2299, or through Maddox, Robin J. via phone (912) 350-9335.

Contact Information

Primary practice address
14 Okatie Center Blvd. South Suite 101 Okatie SC 29909
Phone: (912) 350-2299
Fax: (912) 350-2298
Website:
Map and Directions
Authorized official contact:
Name: Maddox, Robin J.
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X

Profile Details

NPI number 1083862882
LBN Legal business name Provident Health Surgical Associates, Inc.
DBA Doing business as Aci Surgical Associates
Authorized official Maddox, Robin J.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2008
Last updated May 3rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083862882 NPPES
South Carolina MEDICAID GP5024
South Carolina Other DO4198

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