Provider Demographics
NPI:1558174565
Name:VINCENT, TURNER DWAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:TURNER
Middle Name:DWAYNE
Last Name:VINCENT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 ROBIN LN SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-7042
Mailing Address - Country:US
Mailing Address - Phone:334-714-9361
Mailing Address - Fax:
Practice Address - Street 1:5600 ROSWELL RD BLDG I
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30342-1194
Practice Address - Country:US
Practice Address - Phone:678-832-2258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2827111N00000X
GACHIR011302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor