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Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
GHS PIH DBA UMG GVL ANESTHES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI LAWRENCE (DIRECTOR)
(864) 522-8611
Entity
Organization
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
NULL
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
NULL
207LP3000X
Pediatric Anesthesiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6644
—
SC
Enumeration date
11/21/2014
Last updated
01/04/2023
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