| Colonial Family Practice, Llc | |
|
4700 Forest Dr Suite 101 Columbia SC 29206 | |
| (803) 256-1511 | |
| (803) 256-7333 |
| Full Name | Colonial Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4700 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | David Glenn Whaley (PARTNER) |
| Authorized Official Contact | 8037735227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Family Practice, Llc 325 Broad St Ste 100 Sumter SC 29150-4167 Ph: (803) 773-5227 | Colonial Family Practice, Llc 4700 Forest Dr Suite 101 Columbia SC 29206 Ph: (803) 256-1511 |
| NPI Number | 1770908261 |
|---|---|
| Provider Enumeration Date | 02/20/2014 |
| Last Update Date | 10/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770908261 | NPI | - | NPPES |
| GP 3564 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
| 363A00000X | Physician Assistant | (South Carolina) | Secondary |
Lexington Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
Landmark Medical Of Tennessee Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Richland Community Health Care Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Eau Claire Cooperative Health Center ,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Vital Glow- Men's And Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1494 Lake Murray Blvd Ste A, Columbia, SC 29212 Phone: 803-470-6654 |