COLONIAL FAMILY PRACTICE, LLC

SUMTER, SC
NPI1912541814
Doing Business AsCOLONIAL URGENT CARE
Entity TypeOrganization
Authorized ContactSTEPHANIE KNIGHT DISHER
Credentialing Specialist
803-773-5227
Organization Subpart ?Yes
Primary Taxonomy207P00000X Emergency Medicine
Additional Taxonomies207Q00000X Family Medicine
207QS1201X Family Medicine, Sleep Medicine
207ZC0006X Pathology, Clinical Pathology
2084N0400X Psychiatry & Neurology, Neurology
208D00000X General Practice
261QU0200X Clinic/Center, Urgent Care
363A00000X Physician Assistant
363L00000X Nurse Practitioner
363LA2100X Nurse Practitioner, Acute Care
363LA2200X Nurse Practitioner, Adult Health
363LF0000X Nurse Practitioner, Family
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2019-11-04
Last Update Date2023-08-08
Business Address
COLONIAL FAMILY PRACTICE, LLC
327 BROAD ST
SUMTER, SC 29150-4152
Phone number: 803-773-5227
Mailing Address
COLONIAL FAMILY PRACTICE, LLC
325 BROAD ST STE 100
SUMTER, SC 29150-4167
Phone number: 803-773-5227