Colonial Family Practice, LLC
NPI #1912541814 in Sumter, South Carolina
Provider Information
- NPI Number
- 1912541814
- Entity Type
- Organization
- Organization Name
- Colonial Family Practice, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COLONIAL FAMILY PRACTICE, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Nov 4, 2019
- Last Updated
- Aug 8, 2023
Practice Location
- Address
- 327 BROAD ST
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-4152
- Phone
- (803) 773-5227
Authorized Official
- Name
- MRS. STEPHANIE KNIGHT DISHER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (803) 773-5227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Sleep Medicine — Sleep Medicine |
| Pathology - Clinical Pathology — Clinical Pathology |
| Psychiatry & Neurology - Neurology — Neurology |
| General Practice |
| Clinic/Center - Urgent Care — Urgent Care |
| Physician Assistant |
| Nurse Practitioner |
| Nurse Practitioner - Acute Care — Acute Care |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Pediatrics — Pediatrics |
| Emergency Medicine |
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