Provider Demographics
NPI:1154415933
Name:ACCESS MEDICAL MANAGEMENT, INC
Entity type:Organization
Organization Name:ACCESS MEDICAL MANAGEMENT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-272-1411
Mailing Address - Street 1:3816 HIGHWAY 17 SOUTH
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-5069
Mailing Address - Country:US
Mailing Address - Phone:843-272-1411
Mailing Address - Fax:843-272-2130
Practice Address - Street 1:3816 HIGHWAY 17 SOUTH
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-5069
Practice Address - Country:US
Practice Address - Phone:843-272-1411
Practice Address - Fax:843-272-2130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3744Medicaid
SCGP3744Medicaid