<Unavail>
LBN: Colonial Family Practice, Llc
<Unavail> is an health care organization with primary practice located at 385 W Wesmark Blvd , Sumter SC 29150. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology, Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Colonial Family Practice, Llc can be contacted via phone (803) 773-5227, or through Whaley, David Glenn via phone (803) 773-5227.
Contact Information
Primary practice address
385 W Wesmark Blvd
Sumter SC 29150
Phone: (803) 773-5227
Fax: (803) 753-9121
Website:
Authorized official contact:
Name: Whaley, David Glenn Doctor of Medicine (MD)
Phone: (803) 773-5227
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25247 | South Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207QS1201X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33281 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 33821 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist | 247100000X | 00-8178 | South Carolina |
| Ambulatory Health Care Facilities / Sleep Disorder Diagnostic | 261QS1200X | 25247 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2006 | South Carolina |
Profile Details
| NPI number | 1164833026 |
|---|---|
| LBN Legal business name | Colonial Family Practice, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Whaley, David Glenn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Feb 12th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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