Individual
JAKE EVERETT TURRENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1899 TATE BLVD SE STE 2110, HICKORY, NC 28602-4200
(828) 328-4449
Mailing address
1899 TATE BLVD SE STE 2110, HICKORY, NC 28602-4200
(828) 328-4449
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
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