COLONIAL FAMILY PRACTICE, LLC

SUMTER, SC
NPI1174257067
Doing Business AsCOLONIAL FAMILY PRACTICE
Entity TypeOrganization
Authorized ContactSTEPHANIE KNIGHT DISHER
Credentialing Manager
803-773-5227
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363A00000X Physician Assistant
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
Enumeration Date2022-07-15
Last Update Date2022-07-15
Business Address
COLONIAL FAMILY PRACTICE, LLC
325 BROAD ST STE 200
SUMTER, SC 29150-4167
Phone number: 803-773-5227
Mailing Address
COLONIAL FAMILY PRACTICE, LLC
674 W LIBERTY ST
SUMTER, SC 29150-4882
Phone number: 803-773-5227