PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI 1790185494

NPI Information

PRISMA HEALTH UNIVERSITY MEDICAL GROUP is a foot and ankle surgery podiatrist in Greenville, SC. PRISMA HEALTH UNIVERSITY MEDICAL GROUP NPI is 1790185494. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As University Medical Group.

The provider's business location address is:

200 PATEWOOD DR
SUITE C300
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-8272

The provider's authorized official is Kristi A Lawrence .
The authorized official title is Director Provider Enrollment and has the following contact phone number (864) 797-6118.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 5/15/2020.

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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