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

Colonial Family Practice, LLC

Organization Emergency Medicine Physician · NPI 1467999326

Colonial Family Practice, LLC is an Emergency Medicine Physician in Manning, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
8
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

1013 Professional Ct Ste A
Manning, SC 29102-2827
Phone: (803) 433-7425
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
Emergency Medicine Physician Taxonomy 207P00000X
Gynecology Physician Taxonomy 207VG0400X
General Practice Physician Taxonomy 208D00000X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1467999326
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Stephanie Disher — Credentialing Specialist · (803) 773-5227
Other names Santee Cooper Urgent Care; Santee Cooper Urgent Care
NPI enumeratedJanuary 30, 2017
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address325 Broad St Ste 100, Sumter, SC 29150-4167

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