Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
GHS PIH DBA UMG GVL ANESTHES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI LAWRENCE (DIRECTOR)
(864) 522-8611
Entity
Organization
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6644
—
SC
Enumeration date
11/21/2014
Last updated
01/04/2023
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