Provider Demographics
NPI:1639522204
Name:TURNER, JOSEPH GRAHAM III
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:GRAHAM
Last Name:TURNER
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:10011 PROVIDENCE RD W
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-1561
Mailing Address - Country:US
Mailing Address - Phone:980-245-8500
Mailing Address - Fax:
Practice Address - Street 1:10011 PROVIDENCE RD W
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-1561
Practice Address - Country:US
Practice Address - Phone:980-245-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9047235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist