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 1497060719

Colonial Family Practice, LLC is a Family Medicine Physician in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
Specialties on file
2
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

308 W Wesmark Blvd
Sumter, SC 29150
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 · Licence 3006640 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1497060719
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Stephanie Disher — Credentialing Specialist · (803) 773-5227
Other names Colonial Family Practice Wesmark; Colonial Family Practice Wesmark
NPI enumeratedAugust 11, 2010
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address325 Broad St, Suite 100, Sumter, SC 29150-4167

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