Provider Demographics
NPI:1952632705
Name:TURNER, SANDRA LUCILLE (DC)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LUCILLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 ROSCOE RD
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-1148
Mailing Address - Country:US
Mailing Address - Phone:678-378-5100
Mailing Address - Fax:
Practice Address - Street 1:55 ROSCOE RD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1148
Practice Address - Country:US
Practice Address - Phone:678-378-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor