MEDICARE: CHRISTA NORRIS TURNER P.T.

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	225100000X	Physical Therapist	PT008484	GA
2	2255A2300X	Athletic Trainer	AT001252	GA

General Provider Information

NPI Number	:	1477580785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTA NORRIS TURNER P.T.

Provider Business Mailing Address
First Line	:	3107 DELACHAISE WAY
Second Line	:
City	:	NORCROSS
State	:	GA
Zip	:	30071-1495
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	966A KILLIAN HILL RD SW
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-3102
Country	:	US
Telephone Number	:	770-923-4815
Fax Number	:	770-923-0901

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	02/28/2012

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