Provider Demographics
NPI:1295518967
Name:TURNER, PAMELA TOMLIN
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:TOMLIN
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 1:923 RAMSEY RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:VA
Mailing Address - Zip Code:24574-2996
Mailing Address - Country:US
Mailing Address - Phone:434-420-3458
Mailing Address - Fax:
Practice Address - Street 1:923 RAMSEY RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:VA
Practice Address - Zip Code:24574-2996
Practice Address - Country:US
Practice Address - Phone:434-420-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization