MEDICARE: MADELINE RILEY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71001527A	IN
2	363LF0000X	Family Nurse Practitioner	3847	SC

General Provider Information

NPI Number	:	1356322408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE RILEY FNP

Provider Business Mailing Address
First Line	:	1624 MAIN STREET
Second Line	:	AGAPE SENIOR PRIMARY CARE, INC., DBA AGAPE PHYSICIANS C
City	:	COLUMBIA
State	:	SC
Zip	:	29201
Country	:	US
Telephone Number	:	803-454-0365
Fax Number	:	803-404-6000

Provider Business Practice Location Address
First Line	:	3100 TRADITION CIRCLE
Second Line	:	AGAPE PHYSICIANS CARE
City	:	MT. PLEASANT
State	:	SC
Zip	:	29466
Country	:	US
Telephone Number	:	843-349-3096
Fax Number	:	803-404-6000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	04/01/2015

Similar Medicare Providers

1346240579 — DR. JOHN R MARINO SR. DPM
Practice Location Address:

3510 HIGHWAY 17 BYP N STE 220
MT PLEASANT, SC
29466-8245

Practice Phone: 843-853-3474
Practice Fax: 843-853-3500

1811982960 — THOMAS PATRICK MARTIN JR. MD
Practice Location Address:

1528 RED TIDE RD
MT PLEASANT, SC
29466-9406

Practice Phone: 412-427-5688
Practice Fax:

1528055209 — MARK C PETTUS M.D.
Practice Location Address:

3578 TOOMER KILN CIR
MT PLEASANT, SC
29466-9260

Practice Phone: 843-884-4810
Practice Fax:

1750378824 — JOHN M CICCONE MD
Practice Location Address:

3510 HWY 17 NORTH , STE 325
MT. PLEASANT, SC
29466-8232

Practice Phone: 843-606-8982
Practice Fax: 843-606-8077

1356332563 — ROMITA L WALLEN MD
Practice Location Address:

2736 RUSH HAVEN DR
MT PLEASANT, SC
29466-8578

Practice Phone: 843-881-7477
Practice Fax: 843-881-7477

1164404844 — DR. PRISCILLA WILCOX HOLTZCLAW M.D.
Practice Location Address:

3400 SALTERBECK CT , STE 100
MT PLEASANT, SC
29466-7118

Practice Phone: 843-971-3361
Practice Fax: 843-971-8492

Directions to “ MADELINE RILEY FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.