Individual
JUDY A. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
890 W FARIS RD, SUITE 520, GREENVILLE, SC 29605-4253
(864) 455-9033
(864) 455-6559
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4368
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1733
—
SC
Enumeration date
12/01/2010
Last updated
01/08/2013
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