Provider Demographics
NPI:1275600991
Name:TURNER, CARRIE ANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:ANNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 LINER DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-2311
Mailing Address - Country:US
Mailing Address - Phone:864-227-3636
Mailing Address - Fax:864-227-6116
Practice Address - Street 1:103 LINER DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2311
Practice Address - Country:US
Practice Address - Phone:864-227-3636
Practice Address - Fax:864-227-6116
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1180363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC3215OtherMEDICARE GROUP ID
SCGP0088Medicaid