MEDICARE: MS. ALEM DESTA TURPEAU MD

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	208M00000X	Hospitalist Physician	59782	GA
2	207R00000X	Internal Medicine Physician	059782	GA

General Provider Information

NPI Number	:	1922260819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALEM DESTA TURPEAU MD

Provider Business Mailing Address
First Line	:	1701 ADAMS DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3627
Country	:	US
Telephone Number	:	404-640-3023
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 ADAMS DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3627
Country	:	US
Telephone Number	:	404-640-3023
Fax Number	:

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

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	04/17/2024

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