COLONIAL FAMILY PRACTICE, LLC

MANNING, SC
NPI1467999326
Doing Business AsSANTEE COOPER URGENT CARE
Entity TypeOrganization
Authorized ContactSTEPHANIE KNIGHT DISHER
Credentialing Specialist
803-773-5227
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies363LF0000X Nurse Practitioner, Family
207P00000X Emergency Medicine
207VG0400X Obstetrics & Gynecology, Gynecology
208D00000X General Practice
363L00000X Nurse Practitioner
363LA2200X Nurse Practitioner, Adult Health
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2017-01-30
Last Update Date2021-03-22
Business Address
COLONIAL FAMILY PRACTICE, LLC
1013 PROFESSIONAL CT SUITE A
MANNING, SC 29102-2827
Phone number: 803-433-7425
Mailing Address
COLONIAL FAMILY PRACTICE, LLC
325 BROAD ST STE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227