Colonial Family Practice Liberty Street Location

LBN: Colonial Family Practice, Llc
Colonial Family Practice Liberty Street Location is an health care organization with primary practice located at 674 W Liberty St , Sumter SC 29150-4882. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Colonial Family Practice, Llc can be contacted via phone (803) 773-5227, or through Disher, Stephanie Knight via phone (803) 773-5227.

Contact Information

Primary practice address
674 W Liberty St Sumter SC 29150-4882
Phone: (803) 773-5227
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Disher, Stephanie Knight
Phone: (803) 773-5227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1225687338
LBN Legal business name Colonial Family Practice, Llc
DBA Doing business as Colonial Family Practice Liberty Street Location
Authorized official Disher, Stephanie Knight
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2019
Last updated Jan 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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