Provider Demographics
NPI:1447672951
Name:TURNAGE, MIKE UMBERS (RPH, VACCINE CERTI)
Entity type:Individual
Prefix:MR
First Name:MIKE
Middle Name:UMBERS
Last Name:TURNAGE
Suffix:
Gender:M
Credentials:RPH, VACCINE CERTI
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Mailing Address - Street 1:1601 FAIR ROAD SUITE 1200
Mailing Address - Street 2:MEDICAL CENTER PHARMACY AT COTTON RIDGE MEDICAL PLAZA
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458
Mailing Address - Country:US
Mailing Address - Phone:912-681-2333
Mailing Address - Fax:912-871-5039
Practice Address - Street 1:1601 FAIR ROAD SUITE 1200
Practice Address - Street 2:MEDICAL CENTER PHARMACY AT COTTON RIDGE
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458
Practice Address - Country:US
Practice Address - Phone:912-681-2333
Practice Address - Fax:912-871-5039
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAGEORGIARPH 018138183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist