Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
Department of Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR PROVIDER ENROLLMENT)
(864) 522-8611
Entity
Organization
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1860
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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