Colonial Family Practice, LLC
NPI #1225687338 in Sumter, South Carolina
Provider Information
- NPI Number
- 1225687338
- Entity Type
- Organization
- Organization Name
- Colonial Family Practice, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 11, 2019
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 674 W LIBERTY ST
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-4882
- Phone
- (803) 773-5227
Authorized Official
- Name
- MRS. STEPHANIE KNIGHT DISHER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (803) 773-5227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology |
| Physical Therapist |
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
| Nurse Practitioner - Adult Health — Adult Health |
| Family Medicine |
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