MEDICARE: DR. JOHN A TURNER PHD

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	183500000X	Pharmacist	5489	TN

General Provider Information

NPI Number	:	1184754319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A TURNER PHD

Provider Business Mailing Address
First Line	:	315 N CUMBERLAND ST
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-2720
Country	:	US
Telephone Number	:	615-444-2999
Fax Number	:	615-449-5364

Provider Business Practice Location Address
First Line	:	315 N CUMBERLAND ST
Second Line	:
City	:	LEBANON
State	:	TN
Zip	:	37087-2720
Country	:	US
Telephone Number	:	615-444-2999
Fax Number	:	615-449-5364

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/08/2007

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