COLONIAL FAMILY PRACTICE LLC NPI 1174257067

NPI Information

  • NPI: 1174257067
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 325 BROAD ST STE 200
    SUMTER, SC
    ZIP 29150
  • Phone: (803) 773-5227

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NPI Details

COLONIAL FAMILY PRACTICE, LLC is a family medicine in Sumter, SC. The provider is 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. COLONIAL FAMILY PRACTICE, LLC NPI is 1174257067. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

325 BROAD ST STE 200
SUMTER, SC
ZIP 29150-167
Phone: (803) 773-5227
Fax: (803) 418-0202

The provider's authorized official is Stephanie Knight Disher .
The authorized official title is Credentialing Manager and has the following contact phone number (803) 773-5227.

The enumeration date for this NPI number is 7/15/2022 and was last updated on 7/15/2022.

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
1363A00000XPhysician AssistantNo
2363LA2200XNurse PractitionerAdult HealthNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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