Colonial Family Practice Bultman

LBN: Colonial Family Practice, Llc
Colonial Family Practice Bultman is an health care organization with primary practice located at 698 Bultman Dr Suite A, Sumter SC 29150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Colonial Family Practice, Llc can be contacted via phone (803) 773-5227, or through Disher, Stephanie K via phone (803) 773-5227.

Contact Information

Primary practice address
698 Bultman Dr Suite A Sumter SC 29150
Phone: (803) 773-5227
Fax: (803) 753-9312
Website:
Map and Directions
Authorized official contact:
Name: Disher, Stephanie K
Phone: (803) 773-5227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17676 South Carolina

Profile Details

NPI number 1497178131
LBN Legal business name Colonial Family Practice, Llc
DBA Doing business as Colonial Family Practice Bultman
Authorized official Disher, Stephanie K
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2014
Last updated Dec 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497178131 NPPES
South Carolina MEDICAID GP3564
South Carolina Other 42D2126583

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