Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
University Medical Group/Internal Medicine Associates of Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H MILLER (VP OF PAYOR STRATEGIES & ALIGNMENT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
1025 VERDAE BLVD, SUITE A, GREENVILLE, SC 29607-4032
(864) 242-4683
(864) 240-8104
Mailing address
1025 VERDAE BLVD, SUITE A, GREENVILLE, SC 29607-4032
(864) 242-4683
(864) 240-8104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
SC
207RC0000X
Cardiovascular Disease Physician
—
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
SC
207RG0100X
Gastroenterology Physician
—
SC
207RR0500X
Rheumatology Physician
—
SC
208600000X
Surgery Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4671
—
SC
Enumeration date
11/16/2006
Last updated
08/20/2020
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