Provider Demographics
NPI:1366552895
Name:TURNBULL, DOUGLAS K (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:K
Last Name:TURNBULL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2204
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36533-2204
Mailing Address - Country:US
Mailing Address - Phone:251-923-0550
Mailing Address - Fax:251-923-0551
Practice Address - Street 1:1506 N MCKENZIE ST
Practice Address - Street 2:SUITE 107
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2261
Practice Address - Country:US
Practice Address - Phone:251-923-0550
Practice Address - Fax:251-923-0551
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100205208800000X
ALMD10716208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280114100Medicaid
FL09703OtherBLUE CROSS BLUE SHIELD
C76520Medicare UPIN
FL280114100Medicaid