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 1497178131

Colonial Family Practice, LLC is a Family Medicine Physician in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
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

698 Bultman Dr Ste A
Sumter, SC 29150
Phone: (803) 773-5227
Fax: (803) 753-9312
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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 17676 (SC)

Record details

NPI number1497178131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Disher — Credentialing Specialist · (803) 773-5227
Other names Colonial Family Practice Bultman
NPI enumeratedJanuary 31, 2014
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020
Mailing address325 Broad St, Suite 100, Sumter, SC 29150-4167

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