Individual
BEVERLY TURNER ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N A ST, EASLEY, SC 29640-2144
(864) 855-0001
(864) 855-5030
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6015
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
158067
NY
208000000X
Pediatrics Physician
Primary
9953
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099538
—
SC
01
—
102463DL
PREFERRED CARE
NY
05
—
1147117
—
NY
01
—
158067CP
WORKER'S COMP
NY
01
—
2697340
GHI
NY
01
—
P010158067
BLUE CHOICE
NY
Enumeration date
12/01/2006
Last updated
01/18/2013
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