Provider Demographics
NPI:1124193628
Name:TURNER, MAUREEN (CNM)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 SHARON CIR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-2722
Mailing Address - Country:US
Mailing Address - Phone:229-924-4035
Mailing Address - Fax:
Practice Address - Street 1:205 S LEE ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3913
Practice Address - Country:US
Practice Address - Phone:229-924-4035
Practice Address - Fax:229-924-1778
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN040191176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00739032AMedicaid