Basic Information
| Provider Information | |||||||||
| NPI: | 1528092319 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FRANKLIN MEDICAL GROUP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 909 E 2ND ST | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450051700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377468357 | ||||||||
| FaxNumber: | 9377461992 | ||||||||
| Practice Location | |||||||||
| Address1: | 909 E 2ND ST | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450051700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9377468357 | ||||||||
| FaxNumber: | 9377461992 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2008 | ||||||||
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| AuthorizedOfficialLastName: | TEWELL | ||||||||
| AuthorizedOfficialFirstName: | ANDREA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 9377468357 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | D.O. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.