Provider Demographics
NPI:1285982728
Name:TURNER PODIATRY AND WOUND CARE LLC
Entity type:Organization
Organization Name:TURNER PODIATRY AND WOUND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, CWS
Authorized Official - Phone:706-436-4601
Mailing Address - Street 1:891 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:ROYSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30662-4448
Mailing Address - Country:US
Mailing Address - Phone:706-436-4601
Mailing Address - Fax:706-363-8703
Practice Address - Street 1:891 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ROYSTON
Practice Address - State:GA
Practice Address - Zip Code:30662-4448
Practice Address - Country:US
Practice Address - Phone:706-436-4601
Practice Address - Fax:706-363-8703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD000686213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty