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Contact Information

PRISMA HEALTH UNIVERSITY MEDICAL GROUP
200 PATEWOOD DR
SUITE A200
GREENVILLE, SC29615-3593
 Phone: 864-454-5100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PRISMA HEALTH UNIVERSITY MEDICAL GROUP · (Female)

NPI # 1013244714
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2009
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid OPAC02
  • SC Other 20041172 SELECT HEALTH ID NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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