Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 7235 | NC |
NPI | 1053410092 |
---|---|
Provider Name | Dr. Mindy Morgan Turner |
First Address | Oakboro, NC 28129-8916 |
Second Address | Albemarle, NC 28001-2833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 16/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5902107 | (05) | NC |
9015K | BLUE CROSS BLUESHIELD (01) | NC |