| NPI | 1033402599 |
|---|---|
| Doing Business As | COLONIAL FAMILY PRACTICE CAMDEN LOCATION |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KNIGHT DISHER Credentialing Manager 803-773-5227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2021-03-22 |