Provider Demographics
NPI:1265551055
Name:TURLINGTON, WADE R (MD)
Entity type:Individual
Prefix:DR
First Name:WADE
Middle Name:R
Last Name:TURLINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 DOCTORS DR
Mailing Address - Street 2:SUITE M
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6308
Mailing Address - Country:US
Mailing Address - Phone:910-353-3245
Mailing Address - Fax:910-353-5764
Practice Address - Street 1:200 DOCTORS DR
Practice Address - Street 2:SUITE M
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6308
Practice Address - Country:US
Practice Address - Phone:910-353-3245
Practice Address - Fax:910-353-5764
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC83983OtherBLUE CROSS BLUE SHIELD
NC0101547OtherUNITED
NC8983983Medicaid
NCC85029Medicare UPIN
NC201391Medicare PIN