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

Colonial Family Practice - Manning

Organization Family Medicine Physician · NPI 1689006652

Colonial Family Practice - Manning is a Family Medicine Physician in Manning, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
Specialties on file
5
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Practice location Address checks out

1036 Professional Ct
Manning, SC 29102-2827
Phone: (803) 773-5227
Fax: (803) 433-5221
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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 13915 (SC)
Family Medicine Physician Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1689006652
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Stephanie Disher — Credentialing Manager · (803) 773-5227
Other names Colonial Family Practice Manning
NPI enumeratedAugust 1, 2013
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing address325 Broad St, Suite 100, Sumter, SC 29150-4167

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