Provider Demographics
NPI:1275693954
Name:JAMES E TUREK MD PC
Entity Type:Organization
Organization Name:JAMES E TUREK MD PC
Other - Org Name:MEDPLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-357-2443
Mailing Address - Street 1:2347 HWY 17 BUSINESS SOUTH
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7611
Mailing Address - Country:US
Mailing Address - Phone:843-357-2443
Mailing Address - Fax:843-357-2132
Practice Address - Street 1:2347 HWY 17 BUS S
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:SC
Practice Address - Zip Code:29576-7611
Practice Address - Country:US
Practice Address - Phone:843-357-2443
Practice Address - Fax:843-357-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC14196207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCJ2207OtherRAILROAD MEDICARE PALMETTO GBA
SC7019Medicare PIN
SC1028590001Medicare NSC