Colonial Family Practice, Llc is a primary clinic (Family Medicine) in Eastover, South Carolina. The current practice location for Colonial Family Practice, Llc is 10441 Garners Ferry Rd, Eastover, South Carolina. For appointments, you can reach them via phone at
(803) 773-5227. The mailing address for Colonial Family Practice, Llc is 674 W Liberty St, Sumter, South Carolina and phone number is (803) 773-5227.
Colonial Family Practice, Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1336725209. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(803) 773-5227.
Primary Care Clinic Profile
| Full Name | Colonial Family Practice, Llc |
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| Speciality | Family Medicine |
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| Location | 10441 Garners Ferry Rd, Eastover, South Carolina |
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| Authorized Official Name and Position | Stephanie Knight Disher (CREDENTIALING MANAGER) |
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| Authorized Official Contact | 8037735227 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Colonial Family Practice, Llc
674 W Liberty St
Sumter
SC 29150-4882
Ph: (803) 773-5227 | Colonial Family Practice, Llc
10441 Garners Ferry Rd
Eastover
SC 29044-9351
Ph: (803) 773-5227 |
NPI Details:
| NPI Number | 1336725209 |
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| Provider Enumeration Date | 03/22/2021 |
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| Last Update Date | 03/22/2021 |
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Medical Identifiers
Medical identifiers for Colonial Family Practice, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336725209 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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