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General NPI Number Information
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NPI Number | 1558504308
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Entity Type | Individual
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Provider Name | EDDIE JOE TURNER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4855 FLOYD RD SW
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City | MABLETON
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State | GA
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Zip | 30126
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Country | US
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Telephone | 770-485-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 4855 FLOYD RD SW
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City | MABLETON
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State | GA
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Zip | 30126-1323
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Country | US
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Telephone | 770-485-3458
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 65910
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10030092
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2011-00159
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 65910
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License Number State | GA
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