Organization · Type 2 NPI

Colonial Family Practice, LLC

Family Medicine Physician · Sumter, SC

NPI number 1497060719 Active

Practice location

308 W Wesmark Blvd
Sumter, SC 29150

Call (803) 773-5227 Map

Fax (803) 774-5400

Mailing address

325 Broad St, Suite 100
Sumter, SC 29150-4167

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	3006640 (SC)
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Sumter

See all in Sumter →

NPI record

NPI: 1497060719
Entity type: Organization (Type 2)
Issued: Aug 11, 2010
Last updated: Mar 22, 2021
Status: Active
Subpart: Yes of Colonial Family Practice, LLC

Other names

<unavail>
Colonial Family Practice Wesmark · doing business as
Colonial Family Practice Wesmark · doing business as

Authorized official

Mrs. Stephanie K Disher
Credentialing Specialist
(803) 773-5227

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1497060719

Colonial Family Practice, LLC's National Provider Identifier is 1497060719, issued on Aug 11, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Sumter, SC. The record was last updated on Mar 22, 2021.