# DOCTOR FOR LIFE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. For Life, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881028892
- **Authorized official:** JUDITH RICHTER (MANAGER ASSISTANT)
- **Authorized official phone:** (864) 202-7033

## Contact information

- **Practice address:** 309 TANNER RD, GREENVILLE, SC 29607-5923
- **Practice address phone:** (864) 640-0009
- **Practice address fax:** (864) 558-0589
- **Mailing address:** 309 TANNER RD, GREENVILLE, SC 29607-5923
- **Mailing address phone:** (864) 640-0009
- **Mailing address fax:** (864) 558-0589

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2013
- **Last updated:** 02/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP6250 | — | SC |