# UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Division of Reproductive Endocrinology & Infertility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710944749
- **Authorized official:** DR. PAUL BRUCE MILLER MD (STAFF PHYSICIAN)
- **Authorized official phone:** (864) 455-1600

## Contact information

- **Practice address:** 890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4247
- **Practice address phone:** (864) 455-1600
- **Practice address fax:** (864) 455-3095
- **Mailing address:** 890 W FARIS RD, SUITE 470, GREENVILLE, SC 29605-4247
- **Mailing address phone:** (864) 455-1600
- **Mailing address fax:** (864) 455-3095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 19348 | SC | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 08/22/2020