MEDICARE: DR. DENNIS TURNER JR. M.D.

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	208600000X	Surgery Physician	015520	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	:	1720075625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS TURNER JR. M.D.

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	SUTIE 1420
City	:	ATLANTA
State	:	GA
Zip	:	30308-2208
Country	:	US
Telephone Number	:	404-658-0008
Fax Number	:	404-526-9053

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:	SUTIE 1420
City	:	ATLANTA
State	:	GA
Zip	:	30308-2208
Country	:	US
Telephone Number	:	404-658-0008
Fax Number	:	404-526-9053

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	09/04/2012

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