Individual
ELLEN PATRICE T TURBEVILLE MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
204 E CHEVES ST, FLORENCE, SC 29506-2604
(843) 777-5065
(843) 662-2474
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-5065
(843) 662-2474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20790
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057
BCBS
SC
01
—
18500
EVOLUTIONS
SC
01
—
20074878
SELECT HEALTH
SC
01
—
207003
MEDCOST
SC
05
—
207902
—
SC
01
—
6542416
CIGNA
SC
Enumeration date
04/13/2006
Last updated
11/22/2013
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