OrganizationActive
Prisma Health University Medical Group
NPI 1578890273 · Developmental - Behavioral Pediatrics Physician · Greenville, SC
Provider details
- NPI number
- 1578890273
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristi Lawrence, Director Provider Enrollment & Cvo(864) 522-8611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Patewood Dr
Suite A200
Greenville, SC 29615-3593
Phone: (864) 454-5115
Approximate (ZIP-level) locationGet directions
Mailing address
7 Independence PT Ste 140
Greenville, SC 29615-4550
Other names (DBA / former)
- Doing business as
- Ph Developmental Pediatrics
Registry dates
- Enumerated
- 2009-11-17
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.