| Doctor Name: | MADELINE RILEY |
| NPI Number: | 1356322408 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 71001527A |
| Business Practice Address: | 3100 Tradition Circle Agape Physicians Care Mt. Pleasant, SC - 29466 |
| Business Phone Number: | 8433493096 |
| Business Fax Number: | 8034046000 |
| Mailing Address: | 1624 Main Street, Agape Senior Primary Care, Inc., Dba Agape Physicians C COLUMBIA |
| State: | SC |
| Postal Code: | 29201 |
| Phone Number: | 8034540365 |
| Fax Number: | 8034046000 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 04/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71001527A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |