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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLONIAL FAMILY PRACTICE, LLC

Deactivated Organization

COLONIAL FAMILY PRACTICE, LLC is a Family Medicine organization located in SUMTER, South Carolina. NPI 1497178131 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · SUMTER, SC

This NPI has been deactivated. The record was deactivated on November 3, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1497178131
Provider Type
Organization
NPI Issued
Jan 31, 2014 (6.7568306010929 yrs)
Last Updated
Dec 15, 2020
Deactivated
Nov 3, 2020
License
17676 (SC)

Practice Information

Address
698 BULTMAN DR
SUITE A
SUMTER, SC, 29150
Browse SC providers · Browse ZIP 29150
Phone
8037735227
Fax
8037539312
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.