MEDICARE: TRAVIS C TURNER

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
1	106S00000X	Behavior Technician	RBT-19-107606	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255971230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRAVIS C TURNER

Provider Business Mailing Address
First Line	:	3736 EXECUTIVE CENTER DR
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-2360
Country	:	US
Telephone Number	:	706-842-5330
Fax Number	:	706-842-5340

Provider Business Practice Location Address
First Line	:	3 JOHNSTON ST
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5502
Country	:	US
Telephone Number	:	706-842-5330
Fax Number	:	706-842-5340

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	02/24/2021

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Directions to “ TRAVIS C TURNER ” Practice Location

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