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Individual

MADELINE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3100 TRADITION CIRCLE, AGAPE PHYSICIANS CARE, MT. PLEASANT, SC 29466
(843) 349-3096
(803) 404-6000
Mailing address
1624 MAIN STREET, AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C, COLUMBIA, SC 29201
(803) 454-0365
(803) 404-6000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3847
SC
363LF0000X
Family Nurse Practitioner
71001527A
IN

Other

Enumeration date
11/07/2005
Last updated
04/01/2015
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