Provider Demographics
NPI:1790009108
Name:TURNER, CAROLYN BRYANT (RD, LD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:BRYANT
Last Name:TURNER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1393 HIGHWAY 242 S
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-8851
Mailing Address - Country:US
Mailing Address - Phone:870-572-2727
Mailing Address - Fax:870-572-6558
Practice Address - Street 1:1393 HIGHWAY 242 S
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-8851
Practice Address - Country:US
Practice Address - Phone:870-572-2727
Practice Address - Fax:870-572-6558
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR39133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered