Provider Demographics
NPI:1477526432
Name:TURNER, ELAINE SWANSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:SWANSON
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7605 FOREST AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4938
Mailing Address - Country:US
Mailing Address - Phone:804-288-0055
Mailing Address - Fax:804-288-2659
Practice Address - Street 1:7605 FOREST AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4938
Practice Address - Country:US
Practice Address - Phone:804-288-0055
Practice Address - Fax:804-288-2659
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045673207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA030004866OtherRAILROAD MEDICARE
VA132603OtherSOUTHERN HEALTH
VA296729OtherMAMSI
VA382747OtherANTHEM
VA41031OtherSENTERA
VA2481860OtherAETNA USHC
VA007604009Medicaid
VAVAA100990OtherMEDICARE PTAN
VA007604009Medicaid