# MEDLIFE INTERNAL MEDICINE AND PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDLIFE IM-PCP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609654714
- **Authorized official:** VIPIN VERMA MD (MANAGER)
- **Authorized official phone:** (864) 745-8767

## Contact information

- **Practice address:** 1403 E GREENVILLE ST STE D, ANDERSON, SC 29621-2285
- **Practice address phone:** (864) 745-8767
- **Practice address fax:** (864) 745-8770
- **Mailing address:** PO BOX 2808, ANDERSON, SC 29622-2808
- **Mailing address phone:** (864) 745-8767
- **Mailing address fax:** (864) 745-8770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2023
- **Last updated:** 04/30/2024