Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
University Medical Group/Greenville Radiology, Department of Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H MILLER (VP OF PAYOR STRATEGIES & ALIGNMENTS)
(864) 522-2286
Entity
Organization
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 295-5694
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5312
—
SC
Enumeration date
11/06/2009
Last updated
05/12/2026
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