COLONIAL FAMILY PRACTICE LLC NPI 1164833026

NPI Information

  • NPI: 1164833026
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Other Name: CFP SPECIALTIES
  • CLIA Number: 42D2290875
  • Address: 385 W WESMARK BLVD
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is a neurology psychiatry neurology in Sumter, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COLONIAL FAMILY PRACTICE, LLC NPI is 1164833026. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Cfp Specialties.

The provider's business location address is:

385 W WESMARK BLVD
SUMTER, SC
ZIP 29150
Phone: (803) 773-5227
Fax: (803) 753-9121

The provider's authorized official is David Glenn Whaley .
The authorized official title is Partner and has the following contact phone number (803) 773-5227.

The CLIA number assigned to this NPI record is 42D2290875 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2014 and was last updated on 2/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25247SOUTH CAROLINANo
2207R00000XInternal Medicine33281SOUTH CAROLINANo
32084N0400XPsychiatry & NeurologyNeurologyNo
42084N0400XPsychiatry & NeurologyNeurology33821SOUTH CAROLINAYes
5247100000XRadiologic Technologist00-8178SOUTH CAROLINANo
6261QS1200XClinic/CenterSleep Disorder Diagnostic25247SOUTH CAROLINANo
7363AM0700XPhysician AssistantMedical2006SOUTH CAROLINANo
8207QS1201XFamily MedicineSleep MedicineNo

What is NPI?

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This page was last updated on: 11/21/2025

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