MEDICARE: DR. JOHN-MARK TURNER O.D.

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	152W00000X	Optometrist	OPT001355	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4015462	OTHER	GA	BCBS TN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679565444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN-MARK TURNER O.D.

Provider Business Mailing Address
First Line	:	253 HIGHWAY 515 E
Second Line	:	BLDG C
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-3697
Country	:	US
Telephone Number	:	706-745-3900
Fax Number	:	706-745-2705

Provider Business Practice Location Address
First Line	:	253 HIGHWAY 515 E
Second Line	:
City	:	BLAIRSVILLE
State	:	GA
Zip	:	30512-3697
Country	:	US
Telephone Number	:	706-745-3900
Fax Number	:	706-745-2705

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

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/06/2017

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