Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1215470141 |
---|---|
Provider Name | Horace N Turner SR. |
First Address | Douglas, GA 31533-4016 |
Second Address | Douglas, GA 31533-4016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2016 |
Last Update Date | 25/11/2016 |