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General NPI Number Information
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NPI Number | 1003619313
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH UNIVERSITY MEDICAL GROUP
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3093 S HIGHWAY 14 STE 101
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City | GREER
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State | SC
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Zip | 29650-4829
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Country | US
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Telephone | 864-720-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8611
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KRISTI ANN LAWRENCE
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Credential |
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Telephone | 864-522-8611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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