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NPI Code Detail

MEDICARE: CANDICE IRENE TURNER OD

MEDICARE: CANDICE IRENE TURNER OD
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
1152W00000XOptometristSA63TA622AL

General Provider Information

NPI Number : 1770555351
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE IRENE TURNER OD
Provider Business Mailing Address
First Line : 2100 DATA PARK DRIVE
Second Line :
City : HOOVER
State : AL
Zip : 35244-1254
Country : US
Telephone Number : 256-772-8711
Fax Number : 256-772-8738
Provider Business Practice Location Address
First Line : 2100 DATA PARK DRIVE
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-1254
Country : US
Telephone Number : 256-772-8711
Fax Number : 256-772-8738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 01/12/2010

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