Lillian G Stukes Douglas
COLONIAL FAMILY PRACTICE LLC


Address: 1036 Professional Ct, Manning, SC 29102-2827
Phone: 8037735227

Lillian G Stukes Douglas (NPI# 1952643124, PAC ID# 2769625912) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1952643124
PAC ID by PECOS 2769625912
Professional Enrollment ID I20130906000876
Full Name Lillian G Stukes Douglas
Organization Legal Name COLONIAL FAMILY PRACTICE LLC
Address 1036 Professional Ct
Manning
SC 29102-2827
Phone Number 8037735227
Gender F
Medical School MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 2012
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 9931017118
Number of Group Practice Members 37
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420109 MCLEOD HEALTH CLARENDON

Other Locations

Address Phone Organization
1036 Professional Ct, Manning, SC 29102-2827 8037735227 COLONIAL FAMILY PRACTICE LLC
325 Broad St, Suite 100, Sumter, SC 29150-4167 8037735227 COLONIAL FAMILY PRACTICE LLC

Organization Information

Organization Legal Name COLONIAL FAMILY PRACTICE LLC
Physicians 37

Physicians with the same organization

Name Specialty Organization Address
Barbara Jean Epps Nurse Practitioner Colonial Family Practice LLC 26 Wesmark Ct, Sumter, SC 29150-1996
Matthew Furman Anesthesiology Colonial Family Practice LLC 215 W Hampton Ave, Sumter, SC 29150-4911
David Glenn Whaley Jr. Family Medicine Colonial Family Practice LLC 674 W Liberty St, Sumter, SC 29150-4882
Gina G Wilson Nurse Practitioner Colonial Family Practice LLC 1013 Professional Ct, Suite C, Manning, SC 29102-2827
Jill C Lewis Nurse Practitioner Colonial Family Practice LLC 4700 Forest Dr, Columbia, SC 29206-3119
Christopher M Mahr Family Medicine Colonial Family Practice LLC 698 Bultman Dr, A, Sumter, SC 29150-2549
Ike Stewart Family Medicine Colonial Family Practice LLC 308 W Mark Blvd, Sumter, SC 29150-1977
Kimberly Reisenauer Physician Assistant Colonial Family Practice LLC 385 W Wesmark Blvd, Sumter, SC 29150-1987
Jason M Leonard Family Medicine Colonial Family Practice LLC 385 W Wesmark Blvd, Sumter, SC 29150-1987
Edward J Meyers General Practice Colonial Family Practice LLC 1013 Professional Ct, Suite A, Manning, SC 29102-2827

Office Location

Street Address 1036 PROFESSIONAL CT
City MANNING
State SC
Zip 29102-2827

Physicians in the same zip code

Name Specialty Organization Address
Brent D Carraway Chiropractic Physicians Health and Injury Clinic 608 S Mill St, Manning, SC 29102-2807
Duangmani Friday Chiropractic Physicians Health and Injury Clinic 608 S Mill St, Manning, SC 29102-2807
Gina G Wilson Nurse Practitioner Colonial Family Practice LLC 1013 Professional Ct, Suite C, Manning, SC 29102-2827
David C Isbell Cardiovascular Disease (cardiology) Columbia Heart Clinic Pa 1017 Professional Ct, Manning, SC 29102-2827
Edward J Meyers General Practice Colonial Family Practice LLC 1013 Professional Ct, Suite A, Manning, SC 29102-2827
Walter R Mazzei Jr. Cardiac Electrophysiology Columbia Heart Clinic Pa 1017 Professional Ct, Manning, SC 29102-2827
Kimberly A Kirton Nurse Practitioner Palmetto Health-university of South Carolina Medical Group 1017 Professional Ct, Manning, SC 29102-2827
Marion Timothy Wells Interventional Cardiology Columbia Heart Clinic Pa 1017 Professional Ct, Manning, SC 29102-2827
David R Trigg Family Medicine Colonial Family Practice LLC 1013 Professional Ct, Suite A, Manning, SC 29102-2827
Julie B Miles Nurse Practitioner Colonial Family Practice LLC 1013 Professional Ct, Suite A, Manning, SC 29102-2827
Find all physicians in zip 29102

Competitor

Search similar physicians

City MANNING
Zip Code 29102
Specialty NURSE PRACTITIONER
City + Specialty MANNING + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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