Healthcare Provider Details
I. General information
NPI: 1235664657
Provider Name (Legal Business Name): LINDSEY MOTES RISH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/24/2017
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA SC
29203-6834
US
IV. Provider business mailing address
300 E MCBEE AVE STE 300
GREENVILLE SC
29601-2899
US
V. Phone/Fax
- Phone: 803-434-6095
- Fax: 803-758-0120
- Phone: 864-522-8611
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | 92073 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | 93706 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: