Prisma Health University Medical Group
NPI #1790185494 in Greenville, South Carolina
Provider Information
- NPI Number
- 1790185494
- Entity Type
- Organization
- Organization Name
- Prisma Health University Medical Group
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Enumeration Date
- Aug 29, 2014
- Last Updated
- May 15, 2020
Practice Location
- Address
- 200 PATEWOOD DR
- Address 2
- SUITE C300
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29615-3593
- Phone
- (864) 454-8272
Authorized Official
- Name
- KRISTI A LAWRENCE
- Title
- DIRECTOR PROVIDER ENROLLMENT
- Phone
- (864) 797-6118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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