Organization · Type 2 NPI

Prisma Health University Medical Group

Foot & Ankle Surgery Podiatrist · Greenville, SC

NPI number 1790185494 Active

Practice location

200 Patewood Dr, Suite C300
Greenville, SC 29615-3593

Call (864) 454-8272 Map

Mailing address

1 Independence Pt Ste 212
Greenville, SC 29615-4536

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X626 (SC)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1790185494

Prisma Health University Medical Group's National Provider Identifier is 1790185494, issued on Aug 29, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Greenville, SC. The record was last updated on May 15, 2020.