Colonial Family Practice, Llc in Sumter - Pediatrics
Colonial Family Practice, Llc - NPI 1851547640
Colonial Family Practice, Llc is a Pediatrics in Sumter, South Carolina. Colonial Family Practice, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Colonial Family Practice, Llc is 1851547640. The last update date is 2021-03-22.
Colonial Family Practice, Llc's current location address is 325 Broad St, Sumter, South Carolina. You can contact this provider via phone number 8037735227 and fax number 8037745400. The mailing address for Colonial Family Practice, Llc is 325 Broad St, Sumter, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Colonial Family Practice, Llc |
|---|---|
| Address | 325 Broad St, Sumter, South Carolina |
| Phone Number | 8037735227 |
| Fax Number | 8037745400 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Disher Knight Stephanie |
| Telephone Number | 8037735227 |
NPI Number Detail
| NPI Number | 1851547640 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 325 Broad St |
|---|---|
| City | Sumter |
| State | South Carolina (SC) |
| Post Code | 291504167 |
| Phone Number | 8037735227 |
| Fax Number | 8037745400 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP3564 | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Colonial Family Practice, Llc by the Centers for Medicare & Medicaid Services?
The Colonial Family Practice, Llc has been issued the NPI (National Provider Identifier) 1851547640, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Colonial Family Practice, Llc is geographically located?
The Colonial Family Practice, Llc is physically situated at the following location: 325 Broad St, Sumter, SC, 291504167.
What is the Colonial Family Practice, Llc's specialty and taxonomy code?
The Colonial Family Practice, Llc's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
On what date did the Colonial Family Practice, Llc receive its 1851547640 assignment from the Centers for Medicare & Medicaid Services?
The Colonial Family Practice, Llc was assigned its 1851547640 by the Centers for Medicare & Medicaid Services on 2008-08-12.
As of what date were the details pertaining to Colonial Family Practice, Llc last refreshed?
The information related to the Colonial Family Practice, Llc, including its address, specialty, and other relevant details, was last updated on 2021-03-22.
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