Individual
BLAIR BUCK TURNAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1259
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603PA
—
SC
01
—
P00930458
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
11/16/2007
Last updated
09/22/2011
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