Organization · Type 2 NPI

Colonial Family Practice, LLC

Family Medicine Physician · Columbia, SC

NPI number 1770908261 Active

Practice location

4700 Forest Dr, Suite 101
Columbia, SC 29206

Call (803) 256-1511 Map

Fax (803) 256-7333

Mailing address

325 Broad St Ste 100
Sumter, SC 29150-4167

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Physician Assistant	363A00000X	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 Columbia

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NPI record

NPI: 1770908261
Entity type: Organization (Type 2)
Issued: Feb 20, 2014
Last updated: Oct 2, 2019
Status: Active

Other names

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Colonial Family Practice Columbia · doing business as
CFP Forest Acres 101 · other name
CFP Forest Acres 101 · other name

Authorized official

David Glenn Whaley, MD
Partner
(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 1770908261

Colonial Family Practice, LLC's National Provider Identifier is 1770908261, issued on Feb 20, 2014. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Columbia, SC. The record was last updated on Oct 2, 2019.