Basic Information
Provider Information
NPI: 1326047838
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURNER
FirstName: JOSEPH
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2225 US HWY 41 N
Address2:  
City: TIFTON
State: GA
PostalCode: 31794
CountryCode: US
TelephoneNumber: 2293914100
FaxNumber:  
Practice Location
Address1: 2225 US HWY 41 N
Address2:  
City: TIFTON
State: GA
PostalCode: 31794
CountryCode: US
TelephoneNumber: 2293914100
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2005
LastUpdateDate: 12/01/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/01/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X9286GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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