Healthcare Provider Details

I. General information

NPI: 1972225647
Provider Name (Legal Business Name): TIFFANIE PAIGE TURNAGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 CENTER ST
COLUMBUS GA
31901-1527
US

IV. Provider business mailing address

24062 GA HIGHWAY 315
WAVERLY HALL GA
31831-2404
US

V. Phone/Fax

Practice location:
  • Phone: 706-571-1454
  • Fax:
Mailing address:
  • Phone: 706-566-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN239753
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: