Provider Demographics
NPI:1558434316
Name:TURNER, IRIS LAURENE (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:IRIS
Middle Name:LAURENE
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21300 HIGHWAY 82
Mailing Address - Street 2:SUITE C
Mailing Address - City:WAYNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31566-3862
Mailing Address - Country:US
Mailing Address - Phone:912-778-3556
Mailing Address - Fax:912-778-3558
Practice Address - Street 1:21300 HIGHWAY 82
Practice Address - Street 2:SUITE C
Practice Address - City:WAYNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31566-3862
Practice Address - Country:US
Practice Address - Phone:912-778-3556
Practice Address - Fax:912-778-3558
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR077334207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
R85353Medicare UPIN