Provider Demographics
NPI:1801226337
Name:TURNER-DAVIS, SHAIRI R (MD)
Entity Type:Individual
Prefix:
First Name:SHAIRI
Middle Name:R
Last Name:TURNER-DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHAIRI
Other - Middle Name:REBECCA
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1621 EXECUTIVE CENTER DRIVE ASHLEY BUILDING
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32399-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1621 EXECUTIVE CENTER DR
Practice Address - Street 2:ASHLEY BUILDING
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32399-0001
Practice Address - Country:US
Practice Address - Phone:850-488-4222
Practice Address - Fax:850-617-4926
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95852208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics