# PRISMA HEALTH UNIVERSITY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GHS PIH DBA UMG GVL ANESTHES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528465374
- **Authorized official:** MS. KRISTI LAWRENCE (DIRECTOR)
- **Authorized official phone:** (864) 522-8611

## Contact information

- **Practice address:** 7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
- **Practice address phone:** (864) 522-3700
- **Practice address fax:** (864) 522-3705
- **Mailing address:** 300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 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

- **Enumeration date:** 11/21/2014
- **Last updated:** 01/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP6644 | — | SC |