| Colonial Family Practice, Llc | |
|
10441 Garners Ferry Rd Eastover SC 29044-9351 | |
| (803) 773-5227 | |
| Not Available |
| Full Name | Colonial Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10441 Garners Ferry Rd, Eastover, South Carolina |
| Authorized Official Name and Position | Stephanie Knight Disher (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8037735227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Family Practice, Llc 674 W Liberty St Sumter SC 29150-4882 Ph: (803) 773-5227 | Colonial Family Practice, Llc 10441 Garners Ferry Rd Eastover SC 29044-9351 Ph: (803) 773-5227 |
| NPI Number | 1336725209 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336725209 | NPI | - | NPPES |
Eau Claire Cooperative Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3041 Old Eastover Road, Eastover, SC 29044 Phone: 803-353-8741 Fax: 803-353-8789 |