Basic Information
| Provider Information | |||||||||
| NPI: | 1356866552 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WELBORN | ||||||||
| FirstName: | TURNER | ||||||||
| MiddleName: | ALAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 903 CONCORD AVE | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296211907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8649341812 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2003 E GREENVILLE ST | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296211529 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8647606162 | ||||||||
| FaxNumber: | 8647606163 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2017 | ||||||||
| LastUpdateDate: | 08/08/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 37296 | SC | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.