Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | DN007001 | GA |
N | 204E00000X | Oral & Maxillofacial Surgeon | DN007001 | GA |
NPI | 1023211968 |
---|---|
Provider Name | Henry Julian Turner |
First Address | Dalton, GA 30720-2578 |
Second Address | Dalton, GA 30720-2578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00048793A | (05) | GA |
U44578 | (02) | GA |