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Contact Information

COLONIAL FAMILY PRACTICE, LLC
325 BROAD ST STE 200
SUMTER, SC29150-4167
 Phone: 803-773-5227
 Fax: 803-418-0202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for COLONIAL FAMILY PRACTICE, LLC

NPI # 1831435429
LBN Legal business name COLONIAL FAMILY PRACTICE, LLC
Authorized official JOY KIMBALL - (CONTRACT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/31/2012
Last updated 10/10/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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