# PRISMA HEALTH UNIVERSITY MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Department of Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982292843
- **Authorized official:** KRISTI ANN LAWRENCE (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (864) 522-8611

## Contact information

- **Practice address:** 1330 TAYLOR ST, COLUMBIA, SC 29201-2915
- **Practice address phone:** (864) 522-8615
- **Mailing address:** 300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
- **Mailing address phone:** (864) 522-3700

## Taxonomy

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

## Other

- **Enumeration date:** 01/06/2021
- **Last updated:** 01/06/2021