| Colonial Family Practice, Llc | |
|
325 Broad St Ste 200 Sumter SC 29150-4167 | |
| (803) 773-5227 | |
| (803) 418-0202 |
| Full Name | Colonial Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 325 Broad St Ste 200, Sumter, South Carolina |
| Authorized Official Name and Position | Stephanie Knight Disher (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8037735227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Family Practice, Llc 674 W Liberty St Sumter SC 29150-4882 Ph: (803) 773-5227 | Colonial Family Practice, Llc 325 Broad St Ste 200 Sumter SC 29150-4167 Ph: (803) 773-5227 |
| NPI Number | 1174257067 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174257067 | NPI | - | NPPES |
News Archive
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› Verified 3 days ago
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