Prisma Health University Medical Group

NPI #1619411899 in Easley, South Carolina

Provider Information

NPI Number
1619411899
Entity Type
Organization
Organization Name
Prisma Health University Medical Group
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 7, 2016
Last Updated
May 15, 2020

Practice Location

Address
109 FLEETWOOD DR
Address 2
SUITE B
City
Easley
ZIP Code
29640-2019
Phone
(864) 522-3970

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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