Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Parent organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Other names
PH Diabetes Prevention Program - Upstate, PH Diabetes Prevention Program-Upstate
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR)
(864) 385-4790
Entity
Organization
Contact information
Practice address
712 GROVE RD, GREENVILLE, SC 29605-4211
(864) 522-1439
(864) 522-1428
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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