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Organization
CENTER FOR ADULT AND FAMILY MEDICINE PA
Active
Organization
CENTER FOR ADULT AND FAMILY MEDICINE PA
Active
Other names
CENTER FOR ADULT MEDICINE, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A RICHTER NA (MANAGER ADMINISTRATOR)
(864) 627-1220
Entity
Organization
Contact information
Practice address
317 SAINT FRANCIS DR, SUITE 360, GREENVILLE, SC 29601-3965
(864) 627-1220
(864) 627-1221
Mailing address
317 SAINT FRANCIS DR, SUITE 360, GREENVILLE, SC 29601-3965
(864) 627-1220
(864) 627-1221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22970
SC
207R00000X
Internal Medicine Physician
Primary
17244
SC
207R00000X
Internal Medicine Physician
21280
SC
Other
Enumeration date
08/19/2006
Last updated
03/05/2009
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