MEDICARE: GARY T. TURNER, M.D., P.C.

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	174400000X	Specialist	6379	AL

General Provider Information

NPI Number	:	1093943524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY T. TURNER, M.D., P.C.

Provider Business Mailing Address
First Line	:	13 WESTERN AVE
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2939
Country	:	US
Telephone Number	:	256-249-7044
Fax Number	:

Provider Business Practice Location Address
First Line	:	13 WESTERN AVE
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-2939
Country	:	US
Telephone Number	:	256-249-7044
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GARY T TURNER
Credential	:	M.D.
Telephone Number	:	256-249-7044

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	06/23/2009

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