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General NPI Number Information
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NPI Number | 1295856425
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Entity Type | Organization
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Legal Business Name | DRS. TURNER, ELLEDGE, & FAVROT, P.C.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 840 MONTCLAIR RD SUITE 218
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1920
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Country | US
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Telephone | 205-591-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 840 MONTCLAIR RD SUITE 218
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1920
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Country | US
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Telephone | 205-591-6570
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY T TURNER
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Credential | M.D.
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Telephone | 205-591-6570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD.12962
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License Number State | AL
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