Individual
MICAH VASHAUN TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 ROPER CIR, MONCKS CORNER, SC 29461-3636
(843) 214-7907
Mailing address
121 ROPER CIR, MONCKS CORNER, SC 29461-3636
(843) 214-7907
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
65136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65136
SCLLR
SC
Enumeration date
01/23/2025
Last updated
01/23/2025
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