Provider Demographics
NPI:1952416109
Name:TURNER, JAMES (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N HERON CV
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-8730
Mailing Address - Country:US
Mailing Address - Phone:601-318-6437
Mailing Address - Fax:
Practice Address - Street 1:498 TUSCAN AVE
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-5461
Practice Address - Country:US
Practice Address - Phone:601-318-6437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2170207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001884655OtherWV BCBS
WV3810006144Medicaid
WV1070390OtherWV DWC
WV001884655OtherWV BCBS
WV4190661Medicare PIN
WV1070390OtherWV DWC
WVE68512Medicare UPIN
WV4190663Medicare PIN
WVP00393155Medicare PIN