Provider Demographics
NPI:1730146077
Name:STCLAIR, JANE TURLEY (MD,MPH)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:TURLEY
Last Name:STCLAIR
Suffix:
Gender:F
Credentials:MD,MPH
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6825 JIMMY CARTER BLVD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1228
Mailing Address - Country:US
Mailing Address - Phone:770-449-5161
Mailing Address - Fax:770-449-3272
Practice Address - Street 1:6825 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1228
Practice Address - Country:US
Practice Address - Phone:770-449-5161
Practice Address - Fax:770-449-3272
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2008-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA244852083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE32738Medicare UPIN