NPI 1578890273

Prisma Health University Medical Group

Organisation Developmental - Behavioral Pediatrics Physician Greenville, SC

Practice location

Address: 200 Patewood Dr Suite A200, Greenville, SC 29615-3593
Phone: (864) 454-5115
Mailing address: 7 Independence PT STE 140, Greenville, SC 29615-4550

Authorised official

Name: Kristi Ann Lawrence
Title: Director Provider Enrollment & Cvo
Phone: (864) 522-8611

Registered specialties

Developmental - Behavioral Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1578890273
Entity type: Organization
NPI issued: 17 Nov 2009
Record last updated: 23 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.