Provider Demographics
NPI:1821271297
Name:TURNER PHYSICIAN CLINIC
Entity Type:Organization
Organization Name:TURNER PHYSICIAN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:912-925-3382
Mailing Address - Street 1:11133 ABERCORN ST STE 10
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1829
Mailing Address - Country:US
Mailing Address - Phone:912-925-3382
Mailing Address - Fax:912-920-9048
Practice Address - Street 1:11133 ABERCORN ST STE 10
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-1829
Practice Address - Country:US
Practice Address - Phone:912-925-3382
Practice Address - Fax:912-920-9048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-09
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6013Medicare PIN