NPI 1790185494

Prisma Health University Medical Group

Organisation Foot & Ankle Surgery Podiatrist Greenville, SC

Practice location

Address: 200 Patewood Dr Suite C300, Greenville, SC 29615-3593
Phone: (864) 454-8272
Mailing address: 1 Independence PT STE 212, Greenville, SC 29615-4536

Authorised official

Name: Kristi a Lawrence
Title: Director Provider Enrollment
Phone: (864) 797-6118

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 626 (SC)

Other Podiatrist providers in South Carolina →

Registry record

NPI: 1790185494
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 15 May 2020

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.