Colonial Family Practice is a Neurology Clinic in Sumter, South Carolina. It is located at 325 Broad St. Ste 100, Sumter, SC and its contact number is 803-773-5227. The authorized person for Colonial Family Practice is Mr. Clayton R Lowder Iii
who is Md/ceo of the clinic and his/her contact number is 803-773-5227. The primary license number for Colonial Family Practice is 1013679 (Family Medicine) in South Carolina. Colonial Family Practice Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Colonial Family Practice Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Colonial Family Practice
Specialization:
Neurology
Clinic Address:
325 Broad St. Ste 100, Sumter, South Carolina, 29150-4167
Phone:
803-773-5227
Fax:
803-746-7445
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Clayton R Lowder Iii
Position:
Md/ceo
Contact Number:
803-773-5227
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Colonial Family Practice clinic are as mentioned below.
NPI Number:
1518074640
NPI Enumeration Date:
24 Aug, 2006
NPI Last Update On:
15 Oct, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Colonial Family Practice are as mentioned below.
Specialization
License Number
State
Status
Family Medicine
1013679
South Carolina
Primary
Counselor
5499
South Carolina
Secondary
Anesthesiology
356
South Carolina
Secondary
Pain Medicine
Secondary
Sleep Medicine
25247
South Carolina
Secondary
Internal Medicine
445
South Carolina
Secondary
Pediatrics
29909
South Carolina
Secondary
Neurology
33281
South Carolina
Secondary
Surgery
17676
South Carolina
Secondary
General Practice
Secondary
Pain Medicine
Secondary
Durable Medical Equipment & Medical Supplies
Secondary
Physician Assistant
Secondary
Nurse Practitioner
Secondary
Family
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
GP3564
Medicaid
South Carolina
GP6122
Medicaid
South Carolina
GP6388
Medicaid
South Carolina
GP6363
Medicaid
South Carolina
GP6464
Medicaid
South Carolina
GP6276
Medicaid
South Carolina
GP6186
Medicaid
South Carolina
GP6457
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Colonial Family Practice 325 Broad St. Ste 100, Sumter, South Carolina
Zip:
29150-4167
Phone Number:
803-773-5227
Fax Number:
803-746-7445
Patients can reach Colonial Family Practice at 325 Broad St. Ste 100, Sumter, South Carolina or can call to book an appointment on 803-773-5227. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.