Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | DN010523 | GA |
N | 1223G0001X | General Practice | 9475 | MD |
N | 213EG0000X | General Practice | 9475 | MD |
NPI | 1538272836 |
---|---|
Provider Name | Dwayne L Turner |
First Address | Decatur, GA 30030-1715 |
Second Address | Decatur, GA 30030-1715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 08/07/2007 |