Healthcare Provider Details

I. General information

NPI: 1497864276
Provider Name (Legal Business Name): WILLIAM B TURNER LDO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 12/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 RIVERWALK BLVD SUITE 7
RIDGELAND SC
29936-8190
US

IV. Provider business mailing address

878 FORDING ISLAND ROAD SUITE 14
BLUFFTON SC
29910-8677
US

V. Phone/Fax

Practice location:
  • Phone: 843-379-2388
  • Fax: 843-379-2389
Mailing address:
  • Phone: 843-836-3937
  • Fax: 843-836-3940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number808
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: