Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 8413 | SC |
NPI | 1003800764 |
---|---|
Provider Name | Michael D Turner |
First Address | Abbeville, SC 29620-0885 |
Second Address | Abbeville, SC 29620-5678 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 17/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
084134 | (05) | SC |
CC5830 | RAILROAD MEDICARE (01) | SC |
D79067 | (02) | SC |