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 1174257067

Colonial Family Practice, LLC is a Family Medicine Physician in Sumter, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
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

325 Broad St Ste 200
Sumter, SC 29150-4167
Phone: (803) 773-5227
Fax: (803) 418-0202
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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
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1174257067
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
NPI enumeratedJuly 15, 2022
Last updated in NPPESJuly 15, 2022
Certification dateJuly 6, 2022
Mailing address674 W Liberty St, Sumter, SC 29150-4882

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