Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Surgery Center - Centennial Way
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIR-ENROLLMENT & CVO)
(864) 522-8611
Entity
Organization
Contact information
Practice address
64 CENTENNIAL WAY, GREENVILLE, SC 29605
(864) 522-6730
(864) 522-6753
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-4829
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
08/12/2024
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