NPI | 1790185494 |
---|---|
Doing Business As | UNIVERSITY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KRISTI A LAWRENCE Director Provider Enrollment 864-797-6118 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: SC 626) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2020-05-15 |