Provider Demographics
NPI:1780784983
Name:TURNER, TRACI M (MD)
Entity type:Individual
Prefix:
First Name:TRACI
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 745040
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-5040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1126 N CHURCH ST STE 300
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1037
Practice Address - Country:US
Practice Address - Phone:336-938-0800
Practice Address - Fax:336-938-0755
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9500702207RS0012X
NC95-00702207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC30305OtherPARTNERS MEDICARE
G28264OtherUPIN
NC2507941OtherUHC OF NC
NCB2322OtherMEDCOST
NC8971408Medicaid
NC71408OtherBCBS OF NC
NC2507941OtherUHC OF NC