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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