Healthcare Provider Details

I. General information

NPI: 1982642237
Provider Name (Legal Business Name): ROBERT P TURNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 12/23/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 SAVAGE RD SUITE 100-E
CHARLESTON SC
29407-4704
US

IV. Provider business mailing address

2245 ASHLEY CROSSING DR UNIT C
CHARLESTON SC
29414-5704
US

V. Phone/Fax

Practice location:
  • Phone: 843-735-5920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number67657
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number19821
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: