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Individual

FRED S TURPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
226 N MAIN ST, DAWSON, GA 39842-1420
(229) 995-3954
(229) 995-3954
Mailing address
PO BOX 729, DAWSON, GA 39842-0729
(229) 995-3954
(229) 995-3954

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
895T
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000183488B
GA
05
000183488C
GA
Enumeration date
07/23/2006
Last updated
05/06/2008
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