| Organization Name: | RILEY FAMILY PRACTICE ASSOCIATES PA |
| NPI Number: | 1104970847 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RALPH NICHOLS RILEY (MEDICAL DIRECTOR) |
| Mailing Address: | 595 Newberry Hwy Saluda |
| State: | SC US |
| Postal Code: | 29138 |
| Phone Number: | 8644452500 |
| Fax Number: | 8644453956 |
| NPI Enumeration Date: | 01/22/2007 |
| NPI Last Update Date: | 03/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |