Provider Demographics
NPI:1902992720
Name:TURNER, TANYA GREGORY (DC)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:GREGORY
Last Name:TURNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4875 HOG MOUNTAIN ROAD
Mailing Address - Street 2:SUITE D
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542
Mailing Address - Country:US
Mailing Address - Phone:770-967-1900
Mailing Address - Fax:770-967-1902
Practice Address - Street 1:4875 HOG MOUNTAIN ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542
Practice Address - Country:US
Practice Address - Phone:770-967-1900
Practice Address - Fax:770-967-1902
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U65329Medicare UPIN