Provider Demographics
NPI:1396075321
Name:TURNER, JULIA (MMSC, RD, LD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:MMSC, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 IRON MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30115-7317
Mailing Address - Country:US
Mailing Address - Phone:770-310-5692
Mailing Address - Fax:770-345-9187
Practice Address - Street 1:2000 IRON MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30115-7317
Practice Address - Country:US
Practice Address - Phone:770-310-5692
Practice Address - Fax:770-345-9187
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD000623133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered