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Physician Compare National (NPI:1558504308)

HEALTHCARE PROVIDER: EDDIE JOE TURNER JR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1558504308
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4284816232
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120330000488
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TURNER
Individual professional last name
Provider First Name EDDIE
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2004
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 4855 FLOYD SWRD
Group Practice or individual's line 1 address
City MABLETON
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 301261323
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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