Colonial Family Practice, Llc

LBN: Colonial Family Practice, Llc
Colonial Family Practice, Llc is an health care organization with primary practice located at 10441 Garners Ferry Rd , Eastover SC 29044-9351. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, 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
10441 Garners Ferry Rd Eastover SC 29044-9351
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
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1336725209
LBN Legal business name Colonial Family Practice, Llc
DBA Doing business as
Authorized official Disher, Stephanie Knight
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 22nd, 2021
Last updated Mar 22nd, 2021 - about 5 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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