| NPI | 1770908261 |
|---|---|
| Other Name | CFP FOREST ACRES 101 |
| Doing Business As | COLONIAL FAMILY PRACTICE COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | DAVID GLENN WHALEY Partner 803-773-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2019-10-02 |