Provider Demographics
NPI:1275816662
Name:TURNAGE, AUDREY SUZZETTE
Entity Type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:SUZZETTE
Last Name:TURNAGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 MISHICOT CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-3663
Mailing Address - Country:US
Mailing Address - Phone:919-744-5679
Mailing Address - Fax:
Practice Address - Street 1:1912 MISHICOT CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3663
Practice Address - Country:US
Practice Address - Phone:919-744-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver