| NPI | 1831435429 |
|---|---|
| Doing Business As | COLONIAL SPORTS MEDICINE, JOINT, & ARTHRITIS CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KNIGHT DISHER Credentialing Manager 803-773-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2023-06-20 |