Provider Demographics
NPI:1558643742
Name:TURCOTT, JENNIFER MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MARIE
Last Name:TURCOTT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:MARIE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5447 POWDER SPRINGS DALLAS RD SW
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-9103
Mailing Address - Country:US
Mailing Address - Phone:770-943-6262
Mailing Address - Fax:
Practice Address - Street 1:5447 POWDER SPRINGS DALLAS RD SW
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-9103
Practice Address - Country:US
Practice Address - Phone:770-943-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor