Healthcare Provider Details

I. General information

NPI: 1144159120
Provider Name (Legal Business Name): CAROLINE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3721 NEW MACLAND RD STE 530
POWDER SPRINGS GA
30127-2089
US

IV. Provider business mailing address

584 LAWTON BRIDGE RD SW
SMYRNA GA
30082-3573
US

V. Phone/Fax

Practice location:
  • Phone: 470-632-1009
  • Fax:
Mailing address:
  • Phone: 540-589-0873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA003835
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: