Individual
CHARLES SIEWERS TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16961
NC
2086S0102X
Surgical Critical Care Physician
16961
NC
2086S0120X
Pediatric Surgery Physician
16961
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20052070
RR MEDICARE
—
01
—
2795
PARTNERS
—
05
—
3002758000
—
WV
01
—
31961
MEDCOST
—
01
—
4382150
AETNA
—
05
—
7300964
—
VA
01
—
84040
BCBS
—
05
—
8984040
—
NC
05
—
Q16961
—
SC
Enumeration date
12/15/2005
Last updated
11/12/2010
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