Healthcare Provider Details

I. General information

NPI: 1538611504
Provider Name (Legal Business Name): DREW TURNEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 21ST ST NW
WASHINGTON DC
20036
US

IV. Provider business mailing address

2984 KINCAID DR
SAINT CHARLES MD
20603-5784
US

V. Phone/Fax

Practice location:
  • Phone: 202-416-2000
  • Fax:
Mailing address:
  • Phone: 646-372-0319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number4649
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: