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

Colonial Family Practice NE

Organization Family Medicine Physician · NPI 1285066233

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

Licensed in
SC
In the registry since
2013
Specialties on file
2

Practice location Address checks out

11 Gateway Corners Park
Columbia, SC 29203-8902
Phone: (803) 773-5227
Fax: (803) 462-0375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25856 (SC)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1285066233
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationColonial Family Practice, LLC
Authorized official Leslie Alexander — Credentialing · (803) 773-5227
NPI enumeratedAugust 1, 2013
Last updated in NPPESOctober 2, 2013
Mailing address325 Broad St, Suite 100, Sumter, SC 29150-4167

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