Organization
DOCTOR FOR LIFE, LLC
Active
Other names
Dr. For Life, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH RICHTER (MANAGER ASSISTANT)
(864) 202-7033
Entity
Organization
Contact information
Practice address
309 TANNER RD, GREENVILLE, SC 29607-5923
(864) 640-0009
(864) 558-0589
Mailing address
309 TANNER RD, GREENVILLE, SC 29607-5923
(864) 640-0009
(864) 558-0589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6250
—
SC
Enumeration date
08/27/2013
Last updated
02/21/2025
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