Colonial Family Practice
LBN: Colonial Family Practice, Llc
Colonial Family Practice is an health care organization with primary practice located at 325 Broad St. Ste 100 , Sumter SC 29150-4167. The organization recently has 14 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, 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 Lowder, Clayton R via phone (803) 773-5227.
Contact Information
Primary practice address
325 Broad St. Ste 100
Sumter SC 29150-4167
Phone: (803) 773-5227
Fax: (803) 746-7445
Website:
Health care specialties
Profile Details
| NPI number | 1518074640 |
|---|---|
| LBN Legal business name | Colonial Family Practice, Llc |
| DBA Doing business as | Colonial Family Practice |
| Authorized official | Lowder, Clayton R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Oct 15th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518074640 | NPPES |
| South Carolina | MEDICAID | GP3564 | |
| South Carolina | MEDICAID | GP6122 | |
| South Carolina | MEDICAID | GP6388 | |
| South Carolina | MEDICAID | GP6363 | |
| South Carolina | MEDICAID | GP6464 | |
| South Carolina | MEDICAID | GP6276 | |
| South Carolina | MEDICAID | GP6186 | |
| South Carolina | MEDICAID | GP6457 |
Popular Providers
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Colonial Family Practice, Llc
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