Provider Demographics
NPI:1164568077
Name:TURNER, SAMUEL DUNCAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:DUNCAN
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2708 STONE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL FORK
Mailing Address - State:VA
Mailing Address - Zip Code:24352-3541
Mailing Address - Country:US
Mailing Address - Phone:910-320-6055
Mailing Address - Fax:
Practice Address - Street 1:CLR-25 AID STATION
Practice Address - Street 2:PSC BOX 20125
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28542
Practice Address - Country:US
Practice Address - Phone:910-451-5125
Practice Address - Fax:910-451-0698
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233169208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice