Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colonial Family Practice, LLC

Organization Family Medicine Physician · NPI 1033402599

Colonial Family Practice, LLC is a Family Medicine Physician in Camden, South Carolina. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1124 Little St
Camden, SC 29020-3613
Phone: (803) 773-5227
Fax: (803) 774-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1033402599
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Stephanie Disher — Credentialing Manager · (803) 773-5227
Other names Colonial Family Practice Camden Location
NPI enumeratedMay 17, 2011
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address325 Broad St, Suite 100, Sumter, SC 29150-4167

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