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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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