Provider Demographics
NPI:1962127332
Name:TURNER, BYRON (MED)
Entity type:Individual
Prefix:
First Name:BYRON
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 TIMBER WOLF DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7099
Mailing Address - Country:US
Mailing Address - Phone:317-667-5152
Mailing Address - Fax:
Practice Address - Street 1:1621 TIMBER WOLF DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7099
Practice Address - Country:US
Practice Address - Phone:317-667-5152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41STKN347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle