1902229214 COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER

Family Medicine Physician

Active

Basic Information

Organization Name
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER
Enumeration Date
January 23, 2014
Last Update
March 22, 2021
Authorized Official
STEPHANIE KNIGHT DISHER
CREDENTIALING MANAGER
Phone: (803) 773-5227

Practice Location

Address
4700 FOREST DR
COLUMBIA, SC 29206
Phone
(803) 773-5227

Mailing Address

Address
325 BROAD ST
SUITE 100
SUMTER, SC 291504167
Phone
(803) 773-5227
Fax
(803) 753-9121

Specialties & Taxonomies

Specialty Code Classification License State Primary
Emergency Medicine Physician
207P00000X Emergency Medicine 28747 SC No
Endoscopy Clinic/Center
Endoscopy
261QE0800X Clinic/Center 17676 SC No
Health Service Clinic/Center
Health Service
261QH0100X Clinic/Center N/A N/A No
Magnetic Resonance Imaging (MRI) Clinic/Center
Magnetic Resonance Imaging (MRI)
261QM1200X Clinic/Center 07-6916 GLENN GOUDY SC No
Physician Assistant
363A00000X Physician Assistant N/A N/A No
Nurse Practitioner
363L00000X Nurse Practitioner N/A N/A No
Family Nurse Practitioner
Family
363LF0000X Nurse Practitioner N/A N/A No
Family Medicine Physician
207Q00000X Family Medicine 25518 SC Primary

Other Identifiers

Identifier Type State Issuer
GP3564 05 SC N/A

Frequently Asked Questions

What is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's NPI number?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's NPI number is 1902229214.
Which doctor has NPI number 1902229214?
The doctor with NPI number 1902229214 is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER.
What is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's practice address?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's practice address is 4700 FOREST DR, COLUMBIA, SC, 29206.
Which doctor practices at 4700 FOREST DR, COLUMBIA, SC, 29206?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER practices at 4700 FOREST DR, COLUMBIA, SC, 29206.
What is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's mailing address?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's mailing address is 325 BROAD ST, SUITE 100, SUMTER, SC, 291504167.
What is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's phone number?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's phone number is (803) 773-5227.
Who is (803) 773-5227?
(803) 773-5227 is the phone number for COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER.
What is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's specialty?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER's specialty is Family Medicine Physician.
What type of doctor is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER is a Family Medicine Physician.
Is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER a Family Medicine?
Yes, COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER is a Family Medicine.
Is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER still practicing?
Yes, COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER is currently practicing.
Is COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER accepting new patients?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER may be accepting new patients. Please call their office at (803) 773-5227 to inquire about availability.
Is NPI 1902229214 still active?
Yes, NPI 1902229214 is currently active.
Where does COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER practice?
COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER practices in COLUMBIA, SC.