Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | RN040191 | GA |
NPI | 1124193628 |
---|---|
Provider Name | Mrs. Maureen Turner |
First Address | Americus, GA 31709-2722 |
Second Address | Americus, GA 31709-3913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00739032A | (05) | GA |