Provider Demographics
NPI:1063799047
Name:GREGORY M. TURNER
Entity type:Organization
Organization Name:GREGORY M. TURNER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:MONTRELL
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-218-9987
Mailing Address - Street 1:PO BOX 3205
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38173-0205
Mailing Address - Country:US
Mailing Address - Phone:901-218-9987
Mailing Address - Fax:901-528-2494
Practice Address - Street 1:111 LUCY AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38106-2713
Practice Address - Country:US
Practice Address - Phone:901-218-9987
Practice Address - Fax:901-528-2494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-04
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty