Prisma Health University Medical Group

NPI #1225480486 in Clemson, South Carolina

Provider Information

NPI Number
1225480486
Entity Type
Organization
Organization Name
Prisma Health University Medical Group
Primary Specialty
Pediatrics
Enumeration Date
Jul 12, 2016
Last Updated
May 15, 2020

Practice Location

Address
208 FRONTAGE RD
Address 2
SUITE 1
ZIP Code
29631-1691
Phone
(864) 654-6034

Authorized Official

Name
KRISTI ANN LAWRENCE
Title
DIRECTOR PROVIDER ENROLLMENT
Phone
(864) 797-6118

Specialties & Taxonomy Codes

Specialty
Pediatrics

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