Provider Demographics
NPI:1790960938
Name:TURNER, FRANCES BAMBA
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:BAMBA
Last Name:TURNER
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 1:504 COOK FLORIST RD
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-7285
Mailing Address - Country:US
Mailing Address - Phone:336-342-3884
Mailing Address - Fax:336-342-2299
Practice Address - Street 1:504 COOK FLORIST RD
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-7285
Practice Address - Country:US
Practice Address - Phone:336-342-3884
Practice Address - Fax:336-342-2299
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7802558Medicaid