COLONIAL FAMILY PRACTICE - MANNING NPI 1689006652

NPI Information

  • NPI: 1689006652
  • Provider Name: COLONIAL FAMILY PRACTICE - MANNING
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL FAMILY PRACTICE MANNING
  • Address: 1036 PROFESSIONAL CT
    MANNING, SC
    ZIP 29102
  • Phone: (803) 773-5227

Map and Directions

Get Directions

NPI Details

COLONIAL FAMILY PRACTICE - MANNING is a family medicine in Manning, 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 - MANNING NPI is 1689006652. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Colonial Family Practice Manning.

The provider's business location address is:

1036 PROFESSIONAL CT
MANNING, SC
ZIP 29102-827
Phone: (803) 773-5227
Fax: (803) 433-5221

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 8/1/2013 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
1207Q00000XFamily MedicineNo
2363A00000XPhysician AssistantNo
3363AM0700XPhysician AssistantMedicalNo
4363LF0000XNurse PractitionerFamilyNo
5207Q00000XFamily Medicine13915SOUTH CAROLINAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI