Individual
MRS. LAURIE MILLER TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
214 W. PINE ST., FLORENCE, SC 29501-4725
(843) 661-0500
(843) 661-7370
Mailing address
PO BOX 2109, FLORENCE, SC 29503-2109
(843) 661-0500
(843) 661-7370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
981EM
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514PA
—
SC
01
—
7153
MEDICARE GROUP NUMBER
SC
01
—
GP4377
MEDICAID GROUP NUMBER
SC
Enumeration date
12/01/2006
Last updated
09/05/2018
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