Doctor Name: | GERALD RAYMOND TURNER |
NPI Number: | 1972664753 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 300 East Main, Suite 1000 Norfolk, VA - 23510 |
Business Phone Number: | 7576284330 |
Business Fax Number: | |
Mailing Address: | 2317 Delia Drive, ELIZABETH CITY |
State: | NC |
Postal Code: | 279097701 |
Phone Number: | 7576284330 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |