COLONIAL FAMILY PRACTICE LLC NPI 1497060719

NPI Information

  • NPI: 1497060719
  • Provider Name: COLONIAL FAMILY PRACTICE, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL FAMILY PRACTICE WESMARK
  • Address: 308 W WESMARK BLVD
    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 1497060719. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colonial Family Practice Wesmark.

The provider's business location address is:

308 W WESMARK BLVD
SUMTER, SC
ZIP 29150
Phone: (803) 773-5227
Fax: (803) 774-5400

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

The enumeration date for this NPI number is 8/11/2010 and was last updated on 3/22/2021.

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
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily Medicine3006640SOUTH CAROLINAYes

What is NPI?

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

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