Healthcare Provider Details

I. General information

NPI: 1578998597
Provider Name (Legal Business Name): CAROLYN HINES TURNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 09/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 JOHNSTON RD
NINETY SIX SC
29666-9734
US

IV. Provider business mailing address

306 POPLAR HILL RD
NINETY SIX SC
29666-9719
US

V. Phone/Fax

Practice location:
  • Phone: 864-543-4995
  • Fax:
Mailing address:
  • Phone: 864-543-2742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number72559
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: