Colonial Pediatrics

LBN: Colonial Family Practice, Llc
Colonial Pediatrics is an health care organization with primary practice located at 742 W Liberty St , Sumter SC 29150-4746. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics 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
742 W Liberty St Sumter SC 29150-4746
Phone: (803) 773-5227
Fax: (803) 774-5400
Website:
Map and Directions
Authorized official contact:
Name: Disher, Stephanie Knight
Phone: (803) 773-5227

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5499 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3004950 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1851547640
LBN Legal business name Colonial Family Practice, Llc
DBA Doing business as Colonial Pediatrics
Authorized official Disher, Stephanie Knight
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 12th, 2008
Last updated Mar 22nd, 2021 - about 3 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 1851547640 NPPES
South Carolina MEDICAID GP3564

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