Organization
PRISMA HEALTH-UPSTATE
Active
Other names
PH Adult Congenital Cardiology Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR /CVO/PROVIDER ENROLLMENT)
(864) 522-8611
Entity
Organization
Contact information
Practice address
200 PATEWOOD DR STE C320, GREENVILLE, SC 29615-6329
(864) 797-1056
(864) 797-1055
Mailing address
PO BOX 402121, ATLANTA, GA 30384-2121
(864) 454-9604
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
03/12/2025
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