Colonial Family Practice, LLC
Colonial Family Practice, LLC is a Family Medicine Physician in Eastover, South Carolina. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 5
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
10441 Garners Ferry RdEastover, SC 29044-9351
Phone: (803) 773-5227
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |
| Medical Physician Assistant | Taxonomy 363AM0700X |
| Nurse Practitioner | Taxonomy 363L00000X |
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1336725209 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Colonial Family Practice, LLC |
| Authorized official | Stephanie Disher — Credentialing Manager · (803) 773-5227 |
| Other names | Colonial Family Practice Garners Ferry |
| NPI enumerated | March 22, 2021 |
| Last updated in NPPES | March 22, 2021 |
| Certification date | March 22, 2021 |
| Mailing address | 674 W Liberty St, Sumter, SC 29150-4882 |
Other providers in Eastover
-
Vanessa K Wideman, MD
1325 S Carolina Rd Ste 11, Eastover, SC 29044 · (803) 647-8295