Individual
JAKE EVERETT TURRENTINE
Active
Individual
JAKE EVERETT TURRENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
072838
GA
207N00000X
Dermatology Physician
Primary
2016-02183
NC
207N00000X
Dermatology Physician
37485
SC
207N00000X
Dermatology Physician
ME121327
FL
207N00000X
Dermatology Physician
P8091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072838
GA LICENSES
GA
Enumeration date
04/17/2011
Last updated
11/02/2017
Update your record
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