MEDICARE: JANE TURLEY STCLAIR MD,MPH

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	2083X0100X	Occupational Medicine Physician	24485	GA

General Provider Information

NPI Number	:	1730146077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE TURLEY STCLAIR MD,MPH

Provider Business Mailing Address
First Line	:	6825 JIMMY CARTER BLVD
Second Line	:	SUITE 1100
City	:	NORCROSS
State	:	GA
Zip	:	30071-1228
Country	:	US
Telephone Number	:	770-449-5161
Fax Number	:	770-449-3272

Provider Business Practice Location Address
First Line	:	6825 JIMMY CARTER BLVD
Second Line	:	SUITE 1100
City	:	NORCROSS
State	:	GA
Zip	:	30071-1228
Country	:	US
Telephone Number	:	770-449-5161
Fax Number	:	770-449-3272

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

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	03/31/2008

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