Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
Prisma Health University Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY MILLER (SVP-FIN ENTERPRISE PAYOR CONTRACTIN)
(864) 522-2286
Entity
Organization
Contact information
Practice address
200 PATEWOOD DR, SUITE A200, GREENVILLE, SC 29615-3593
(864) 454-5100
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20041172
SELECT HEALTH ID NUMBER
SC
05
—
OPAC02
—
SC
Enumeration date
11/17/2009
Last updated
05/14/2024
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