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Organization
COLONIAL FAMILY PRACTICE, LLC
Active
Organization
COLONIAL FAMILY PRACTICE, LLC
Active
Other names
Colonial Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN COMSTOCK (VICE PRESIDENT)
(615) 503-1431
Entity
Organization
Contact information
Practice address
325 BROAD ST. STE 100, SUMTER, SC 29150-4167
(803) 773-5227
(803) 746-7445
Mailing address
674 W LIBERTY ST, SUMTER, SC 29150-4882
(803) 773-5227
(803) 757-4010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5499
SC
207L00000X
Anesthesiology Physician
356
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
1013679
SC
207QS1201X
Sleep Medicine (Family Medicine) Physician
25247
SC
207R00000X
Internal Medicine Physician
445
SC
208000000X
Pediatrics Physician
29909
SC
2084N0400X
Neurology Physician
33281
SC
208600000X
Surgery Physician
17676
SC
208D00000X
General Practice Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3564
—
SC
05
—
GP6122
—
SC
05
—
GP6186
—
SC
05
—
GP6276
—
SC
05
—
GP6363
—
SC
05
—
GP6388
—
SC
05
—
GP6457
—
SC
05
—
GP6464
—
SC
Enumeration date
08/24/2006
Last updated
03/03/2026
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