Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
UMG Easley
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR OF PROVIDER ENROLLMENT)
(864) 522-8611
Entity
Organization
Contact information
Practice address
106 JOHN ST, EASLEY, SC 29640-1415
(864) 859-2220
(864) 859-5744
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/12/2018
Last updated
05/07/2024
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