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Colonial Family Practice, LLC

Family Medicine Physician in Camden, SC · enumerated 2011 · authorized official Stephanie Disher, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033402599

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Registry record

Entity type Organization (Type 2)
Legal business name Colonial Family Practice, LLC
Other name <Unavail>
Parent organization Colonial Family Practice, LLC
Practice address 1124 Little St, Camden, SC, 29020
Fax (803) 774-5400
Enumeration date May 17, 2011
Last updated in NPPES Mar 22, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Stephanie Disher
Title Credentialing Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-03-22. Verify at npiregistry.cms.hhs.gov.
Where is Colonial Family Practice, LLC located?
The practice location on file with NPPES is in Camden, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-22.