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

Colonial Family Practice, LLC

Organization Family Medicine Physician · NPI 1508302308

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

In the registry since
2017
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 C
Manning, SC 29102-2827
Phone: (803) 433-7444
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

Record details

NPI number1508302308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad McIntosh — Office Manager · (803) 433-7444
Other names Primary Care At Santee Cooper
NPI enumeratedJanuary 17, 2017
Last updated in NPPESJanuary 17, 2017
Mailing address1013 Professional Ct, Suite C, Manning, SC 29102-2827

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