Provider Demographics
NPI:1316072168
Name:TURNING POINT WOMEN'S CENTER, PA
Entity type:Organization
Organization Name:TURNING POINT WOMEN'S CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:864-366-9999
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29620-0369
Mailing Address - Country:US
Mailing Address - Phone:864-366-9999
Mailing Address - Fax:864-366-8912
Practice Address - Street 1:901 W GREENWOOD ST
Practice Address - Street 2:SUITE 5
Practice Address - City:ABBEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29620-5678
Practice Address - Country:US
Practice Address - Phone:864-366-9999
Practice Address - Fax:864-366-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4002261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC003926Medicaid
P00015070OtherRAILROAD
SC8189Medicare PIN