COLONIAL FAMILY PRACTICE LLC NPI 1598313827

NPI Information

NPI: 1598313827
Provider Name: COLONIAL FAMILY PRACTICE, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 42D2138851

Address:
26 WESMARK CT
SUMTER, SC
ZIP 29150
Phone: (803) 773-5227
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COLONIAL FAMILY PRACTICE, LLC is a family nurse practitioner in Sumter, SC. COLONIAL FAMILY PRACTICE, LLC NPI is 1598313827. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26 WESMARK CT
SUMTER, SC
ZIP 29150-996
Phone: (803) 773-5227

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

The CLIA number assigned to this NPI record is 42D2138851 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2019 and was last updated on 8/29/2019.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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: 5/5/2024

NPI Synchronization or Removal

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