Organization
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI A. LAWRENCE (DIRECTOR)
(864) 797-6118
Entity
Organization
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-0029
(864) 329-8125
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 385-4790
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0576
—
SC
Enumeration date
01/07/2011
Last updated
05/15/2020
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