Provider Demographics
NPI:1598738049
Name:TURNER, CRAIG SCOTT SR (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:SCOTT
Last Name:TURNER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CRAIG
Other - Middle Name:SCOTT
Other - Last Name:TURNER
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 14656
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71207
Mailing Address - Country:US
Mailing Address - Phone:318-343-6487
Mailing Address - Fax:318-343-7884
Practice Address - Street 1:516 LINCOLN ROAD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203
Practice Address - Country:US
Practice Address - Phone:318-343-6487
Practice Address - Fax:318-343-7884
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015507207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1302091Medicaid
B65806Medicare UPIN
5E019Medicare ID - Type Unspecified