COLONIAL FAMILY PRACTICE, LLC

SUMTER, SC
NPI1225687338
Doing Business AsCOLONIAL FAMILY PRACTICE LIBERTY STREET LOCATION
Entity TypeOrganization
Authorized ContactSTEPHANIE KNIGHT DISHER
Credentialing Specialist
803-773-5227
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
225100000X Physical Therapist
363A00000X Physician Assistant
363LF0000X Nurse Practitioner, Family
363L00000X Nurse Practitioner
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2019-09-11
Last Update Date2020-01-30
Business Address
COLONIAL FAMILY PRACTICE, LLC
674 W LIBERTY ST
SUMTER, SC 29150-4882
Phone number: 803-773-5227
Mailing Address
COLONIAL FAMILY PRACTICE, LLC
325 BROAD ST STE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227