Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 16961 | NC |
Y | 208600000X | Surgeon | 16961 | NC |
N | 2086S0102X | Surgical Critical Care | 16961 | NC |
N | 2086S0120X | Pediatric Surgery | 16961 | NC |
NPI | 1013993708 |
---|---|
Provider Name | Charles Siewers Turner |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 12/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
20052070 | RR MEDICARE (01) | |
2795 | PARTNERS (01) | |
3002758000 | (05) | WV |
31961 | MEDCOST (01) | |
4382150 | AETNA (01) | |
7300964 | (05) | VA |
84040 | BCBS (01) | |
8984040 | (05) | NC |
C86846 | (02) | |
Q16961 | (05) | SC |