NPI | 1295218642 |
---|---|
Doing Business As | UMG EASLEY |
Entity Type | Organization |
Authorized Contact | KRISTI ANN LAWRENCE Director Of Provider Enrollment 864-522-8611 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207V00000X Obstetrics & Gynecology | |
208600000X Surgery | |
Enumeration Date | 2018-09-12 |
Last Update Date | 2024-05-07 |