Provider Demographics
NPI:1417266248
Name:TURNER, GLORIA DENISE
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:DENISE
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GLORIA
Other - Middle Name:DENISE
Other - Last Name:UKWU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 CHATEAU DR SW APT I
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3487
Mailing Address - Country:US
Mailing Address - Phone:256-604-4805
Mailing Address - Fax:
Practice Address - Street 1:510 CHATEAU DR SW APT I
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3487
Practice Address - Country:US
Practice Address - Phone:256-604-4805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy