COLONIAL FAMILY PRACTICE, LLC
Organization (NPI-2)
Active
Psychiatry & Neurology, Neurology
Provider Information
- NPI Number
1164833026- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 385 W WESMARK BLVD, SUMTER, SC, 29150
- Phone
- (803) 773-5227
- Fax
- (803) 753-9121
Specialties & Taxonomies
Family Medicine
License: SC #25247
Family Medicine, Sleep Medicine
Internal Medicine
License: SC #33281
Psychiatry & Neurology, Neurology
Radiologic Technologist
License: SC #00-8178
Clinic/Center, Sleep Disorder Diagnostic
License: SC #25247
Physician Assistant, Medical
License: SC #2006
Psychiatry & Neurology, Neurology
Primary License: SC #33821