Provider Demographics
NPI:1942360672
Name:TUREK, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:TUREK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC14196208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC141965Medicaid
SCE137209084Medicare PIN
SC141965Medicaid
SCE137207019Medicare PIN