Provider Demographics
NPI:1154985935
Name:TURNER, SHANNON A (MS, CLS)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:A
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS, CLS
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:ALISON
Other - Last Name:STOKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18393 ARABIAN DR
Mailing Address - Street 2:
Mailing Address - City:VANCE
Mailing Address - State:AL
Mailing Address - Zip Code:35490-3408
Mailing Address - Country:US
Mailing Address - Phone:251-656-7438
Mailing Address - Fax:
Practice Address - Street 1:3701 LOOP RD
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35404-5015
Practice Address - Country:US
Practice Address - Phone:205-554-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL263269246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory