Provider Demographics
NPI:1982710489
Name:TURNER, PHILIP W (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:W
Last Name:TURNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5312
Mailing Address - Country:US
Mailing Address - Phone:704-375-2405
Mailing Address - Fax:704-375-2809
Practice Address - Street 1:2519 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5312
Practice Address - Country:US
Practice Address - Phone:704-375-2405
Practice Address - Fax:704-375-2809
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08548OtherBCBS ID NUMBER
NC7908548Medicaid
NC7908548Medicaid