Provider Demographics
NPI:1578730453
Name:TURRENTINE, JOHN EVERETT (MD)
Entity Type:Individual
Prefix:PROF
First Name:JOHN
Middle Name:EVERETT
Last Name:TURRENTINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 989
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30722-0989
Mailing Address - Country:US
Mailing Address - Phone:706-529-6573
Mailing Address - Fax:706-529-5940
Practice Address - Street 1:600 S THORNTON AVE BLDG B
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-8271
Practice Address - Country:US
Practice Address - Phone:706-529-6573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-10
Last Update Date:2008-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2963207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology