Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Other names
University Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI A LAWRENCE (DIRECTOR PROVIDER ENROLLMENT)
(864) 797-6118
Entity
Organization
Contact information
Practice address
200 PATEWOOD DR, SUITE C300, GREENVILLE, SC 29615-3593
(864) 454-8272
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 385-4790
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
626
SC
Other
Enumeration date
08/29/2014
Last updated
05/15/2020
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