Individual
MICO B TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1829 CHRISTOPHER DR, CONYERS, GA 30094-2729
(678) 964-5133
Mailing address
PO BOX 94881, ATLANTA, GA 30377-1881
(678) 964-5133
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
GA
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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