Organization
COLONIAL FAMILY PRACTICE, LLC
Active
Other names
Colonial Pain Management, Colonial Sports Medicine, Joint, & Arthritis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOY KIMBALL (CONTRACT MANAGER)
(803) 256-1511
Entity
Organization
Contact information
Practice address
325 BROAD ST STE 200, SUMTER, SC 29150-4167
(803) 773-5227
(803) 418-0202
Mailing address
674 W LIBERTY ST, SUMTER, SC 29150-4882
(803) 773-5227
(803) 757-4010
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/31/2012
Last updated
10/10/2025
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