Provider Demographics
NPI:1225167265
Name:TURNER, GEORGE LOUIS III (ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:LOUIS
Last Name:TURNER
Suffix:III
Gender:M
Credentials:ATC, LAT
Other - Prefix:MR
Other - First Name:TRIPP
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ATC, LAT
Mailing Address - Street 1:10135 WOODLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-6649
Mailing Address - Country:US
Mailing Address - Phone:901-759-3496
Mailing Address - Fax:
Practice Address - Street 1:99 MARKET CENTER DR
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-6913
Practice Address - Country:US
Practice Address - Phone:901-861-9610
Practice Address - Fax:901-861-9611
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000005742255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer