Colonial Family Practice, LLC
NPI #1598313827 in Sumter, South Carolina
Provider Information
- NPI Number
- 1598313827
- Entity Type
- Organization
- Organization Name
- Colonial Family Practice, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 29, 2019
- Last Updated
- Aug 29, 2019
Practice Location
- Address
- 26 WESMARK CT
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1996
- Phone
- (803) 773-5227
Authorized Official
- Name
- MRS. STEPHANIE KNIGHT DISHER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (803) 773-5227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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