Colonial Family Practice, Llc
Pediatrics
Colonial Family Practice, Llc is a Sumter, South Carolina based Pediatric center with medical specialization in
General Pediatrics. Colonial Family Practice, Llc is doing business as
Colonial Pediatrics.
It is located at
742 W Liberty St, Sumter, South Carolina - 29150-4746. They can be contacted on phone at
803-773-5227 and fax number 803-774-5400.
NPI number (Unique professional ID) for Colonial Family Practice, Llc is
1851547640 which was assigned by NPPES on 12 Aug, 2008 and it was last updated on 22 Mar, 2021.
Colonial Family Practice, Llc license number is
3004950 for Pediatrics (208000000X) in South Carolina.
Colonial Family Practice, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Colonial Family Practice, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Colonial Family Practice, Llc |
|---|
| Other Name : | Colonial Pediatrics |
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Business Address:
Colonial Family Practice, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 742 W Liberty St
Sumter, SC, 29150-4746
United States |
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| Phone Number : | 803-773-5227 |
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| Fax Number : | 803-774-5400 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851547640 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Aug, 2008 |
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| Last Updated On : | 22 Mar, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Stephanieknight Disher |
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| Official Title or Position : | CREDENTIALING MANAGER |
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| Phone Number : | 803-773-5227 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colonial Family Practice, Llc are as mentioned. Primary taxonomy code for Colonial Family Practice, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 101YP2500X | Counselor Professional | No | 5499 | SC |
| 363LF0000X | Nurse Practitioner Family | No | | |
| 363LP0200X | Nurse Practitioner Pediatrics | No | | |
| 208000000X | Pediatrics | Yes | 3004950 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Colonial Family Practice, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GP3564 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 325 Broad St, Suite 100
Sumter, SC, 29150-4167
United States |
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| Phone Number : | 803-773-5227 |
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| Fax Number : | 803-774-5400 |
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Business Location:
Patients can refer following map for directions to
Colonial Family Practice, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.