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JONATHAN STEFAN TURRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-9208
Mailing address
250 DEWEY AVE, SPARTANBURG, SC 29303-3009
(864) 585-0366
(864) 585-9208

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121328
SC
01
3335
MEDICARE GROUP NUMBER
SC
Enumeration date
08/06/2007
Last updated
08/06/2007
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