| NPI | 1518074640 |
|---|---|
| Doing Business As | COLONIAL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CLAYTON R LOWDER Md/CEO 803-773-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 1013679) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SC 5499) |
| 207L00000X Anesthesiology (Licence: SC 356) | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: SC 25247) | |
| 207R00000X Internal Medicine (Licence: SC 445) | |
| 208000000X Pediatrics (Licence: SC 29909) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 33281) | |
| 208600000X Surgery (Licence: SC 17676) | |
| 208D00000X General Practice | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2019-10-15 |