COLONIAL FAMILY PRACTICE, LLC

SUMTER, SC
NPI1497060719
Doing Business AsCOLONIAL FAMILY PRACTICE WESMARK
Entity TypeOrganization
Authorized ContactSTEPHANIE K DISHER
Credentialing Specialist
803-773-5227
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  3006640)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
Enumeration Date2010-08-11
Last Update Date2021-03-22
Business Address
COLONIAL FAMILY PRACTICE, LLC
308 W WESMARK BLVD
SUMTER, SC 29150
Phone number: 803-773-5227
Mailing Address
COLONIAL FAMILY PRACTICE, LLC
325 BROAD ST SUITE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227