# CENTER FOR ADULT AND FAMILY MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTER FOR ADULT MEDICINE, PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275647885
- **Authorized official:** JUDY A RICHTER NA (MANAGER ADMINISTRATOR)
- **Authorized official phone:** (864) 627-1220

## Contact information

- **Practice address:** 317 SAINT FRANCIS DR, SUITE 360, GREENVILLE, SC 29601-3965
- **Practice address phone:** (864) 627-1220
- **Practice address fax:** (864) 627-1221
- **Mailing address:** 317 SAINT FRANCIS DR, SUITE 360, GREENVILLE, SC 29601-3965
- **Mailing address phone:** (864) 627-1220
- **Mailing address fax:** (864) 627-1221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22970 | SC | — |
| 207R00000X | Internal Medicine Physician | 17244 | SC | Yes |
| 207R00000X | Internal Medicine Physician | 21280 | SC | — |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 03/05/2009