<Unavail>

LBN: Colonial Family Practice, Llc
<Unavail> is an health care organization with primary practice located at 327 Broad St , Sumter SC 29150-4152. The organization recently has 13 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Colonial Family Practice, Llc can be contacted via phone (803) 773-5227, or through Disher, Stephanie Knight via phone (803) 773-5227.

Contact Information

Primary practice address
327 Broad St Sumter SC 29150-4152
Phone: (803) 773-5227
Fax: (803) 418-0202
Website:
Map and Directions
Authorized official contact:
Name: Disher, Stephanie Knight
Phone: (803) 773-5227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1912541814
LBN Legal business name Colonial Family Practice, Llc
DBA Doing business as <Unavail>
Authorized official Disher, Stephanie Knight
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 4th, 2019
Last updated Aug 8th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912541814 NPPES
South Carolina MEDICAID GP3564

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