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Organization
COLONIAL FAMILY PRACTICE, LLC
Active
Organization
COLONIAL FAMILY PRACTICE, LLC
Active
Other names
Primary Care at Santee Cooper
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD MCINTOSH (OFFICE MANAGER)
(803) 433-7444
Entity
Organization
Contact information
Practice address
1013 PROFESSIONAL CT, SUITE C, MANNING, SC 29102-2827
(803) 433-7444
(803) 418-0202
Mailing address
1013 PROFESSIONAL CT, SUITE C, MANNING, SC 29102-2827
(803) 433-7444
(803) 418-0202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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