Healthcare Provider Details

I. General information

NPI: 1275693954
Provider Name (Legal Business Name): JAMES E TUREK MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2347 HWY 17 BUS S
GARDEN CITY SC
29576-7611
US

IV. Provider business mailing address

2347 HWY 17 BUSINESS SOUTH
GARDEN CITY SC
29576-7611
US

V. Phone/Fax

Practice location:
  • Phone: 843-357-2443
  • Fax: 843-357-2132
Mailing address:
  • Phone: 843-357-2443
  • Fax: 843-357-2132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberSC14196
License Number StateSC

VIII. Authorized Official

Name: DR. JAMES E TUREK
Title or Position: OWNER
Credential: MD
Phone: 843-357-2443