1114948528 NPI number — J. FRANCIS TURNER JR. MD

Table of content: J. FRANCIS TURNER JR. MD (NPI 1114948528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114948528 NPI number — J. FRANCIS TURNER JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURNER
Provider First Name:
J.
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TURNER
Provider Other First Name:
J.
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1114948528
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1940 ALCOA HWY
Provider Second Line Business Mailing Address:
SUITE E210
Provider Business Mailing Address City Name:
KNOXVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37920-6999
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
865-524-7471
Provider Business Mailing Address Fax Number:
865-305-6563

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1940 ALCOA HWY
Provider Second Line Business Practice Location Address:
SUITE E210
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37920-2244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-524-7471
Provider Business Practice Location Address Fax Number:
865-305-6563
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  7500 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7500 . This is a "NEVADA MEDICAL LICENSE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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