Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI LAWRENCE (DIRECTOR OF PROVIDER ENROLLMENT)
(864) 385-4790
Entity
Organization
Contact information
Practice address
2A CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 454-2000
(864) 797-6210
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
(864) 454-4505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/29/2006
Last updated
04/14/2021
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