OrganizationActive
Prisma Health University Medical Group
NPI 1790185494 · Foot & Ankle Surgery Podiatrist · Greenville, SC
Provider details
- NPI number
- 1790185494
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kristi Lawrence, Director Provider Enrollment(864) 797-6118
- License
- 626 (SC)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
200 Patewood Dr
Suite C300
Greenville, SC 29615-3593
Phone: (864) 454-8272
Approximate (ZIP-level) locationGet directions
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Other names (DBA / former)
- Doing business as
- University Medical Group
- Doing business as
- University Medical Group
Registry dates
- Enumerated
- 2014-08-29
- Last updated
- 2020-05-15
- Certified
- 2020-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.