Individual
DR. MIRIAM DENNIS TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
635 PIO NONO AVE, MACON, GA 31204-3531
(478) 803-0001
(478) 254-4997
Mailing address
635 PIO NONO AVE, MACON, GA 31204-3531
(478) 803-0001
(478) 254-4997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2794
GA
152WC0802X
Corneal and Contact Management Optometrist
2794
GA
152WL0500X
Low Vision Rehabilitation Optometrist
2794
GA
152WP0200X
Pediatric Optometrist
2794
GA
152WV0400X
Vision Therapy Optometrist
2794
GA
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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