Organization · Type 2 NPI

Colonial Family Practice - Manning

Family Medicine Physician · Manning, SC

NPI number 1689006652 Active

Practice location

1036 Professional Ct
Manning, SC 29102-2827

Call (803) 773-5227 Map

Fax (803) 433-5221

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	13915 (SC)
Family Medicine Physician	207Q00000X	None listed
Physician Assistant	363A00000X	None listed
Medical Physician Assistant	363AM0700X	None listed
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 Manning

See all in Manning →

NPI record

NPI: 1689006652
Entity type: Organization (Type 2)
Issued: Aug 1, 2013
Last updated: Mar 22, 2021
Status: Active
Subpart: Yes of Colonial Family Practice, LLC

Other names

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Colonial Family Practice Manning · doing business as

Authorized official

Mrs. Stephanie Knight Disher
Credentialing Manager
(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.

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About NPI 1689006652

Colonial Family Practice - Manning's National Provider Identifier is 1689006652, issued on Aug 1, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Manning, SC. The record was last updated on Mar 22, 2021.