Provider Demographics
NPI:1548462732
Name:SULE, JUDIT TUROCZI (MD)
Entity type:Individual
Prefix:
First Name:JUDIT
Middle Name:TUROCZI
Last Name:SULE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 WOODROW WILSON DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2538
Mailing Address - Country:US
Mailing Address - Phone:229-241-0041
Mailing Address - Fax:229-241-0048
Practice Address - Street 1:201 WOODROW WILSON DR
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2538
Practice Address - Country:US
Practice Address - Phone:229-241-0041
Practice Address - Fax:229-241-0048
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA063541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine