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Contact Information

PRISMA HEALTH UNIVERSITY MEDICAL GROUP
10630 CLEMSON BLVD
SUITE 100
SENECA, SC29678-4546
 Phone: 864-482-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Trauma

207XX0801X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRISMA HEALTH UNIVERSITY MEDICAL GROUP

NPI # 1558754978
LBN Legal business name PRISMA HEALTH UNIVERSITY MEDICAL GROUP
Authorized official KRISTI LAWRENCE - (DIRECTOR PROVIDER ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2015
Last updated 05/15/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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