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NPI Code Detail

MEDICARE: SAMANTHA TURNER MPH, RDN, CHES

MEDICARE: SAMANTHA TURNER MPH, RDN, CHES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86176979VA

General Provider Information

NPI Number : 1104498294
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA TURNER MPH, RDN, CHES
Provider Business Mailing Address
First Line : 80 STONECREST DR
Second Line :
City : BASSETT
State : VA
Zip : 24055-3702
Country : US
Telephone Number : 276-358-2448
Fax Number :
Provider Business Practice Location Address
First Line : 22 E CHURCH ST STE 304
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-6208
Country : US
Telephone Number : 276-358-2448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2021
Last Update Date : 11/29/2022

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