Provider Demographics
NPI:1104227347
Name:TURNER, MARION (NP)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 APPLETREE CT
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-6023
Mailing Address - Country:US
Mailing Address - Phone:803-507-0393
Mailing Address - Fax:706-721-3069
Practice Address - Street 1:1120 15TH ST # 5513
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-2566
Practice Address - Fax:706-721-3069
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188149363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily