PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI 1730850322

NPI Information

PRISMA HEALTH UNIVERSITY MEDICAL GROUP is a diagnostic radiology radiology in Greenville, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI is 1730850322. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1210 W FARIS RD
GREENVILLE, SC
ZIP 29605-444
Phone: (864) 522-1800
Fax: (864) 522-1860

The provider's authorized official is Kristi Ann Lawrence .
The authorized official title is Director Provider Enrollment and has the following contact phone number (864) 522-8611.

The CLIA number assigned to this NPI record is 42D0252320 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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