Basic Information
| Provider Information | |||||||||
| NPI: | 1790703841 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANKLIN | ||||||||
| FirstName: | REGINALD | ||||||||
| MiddleName: | KEITH | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 767024 | ||||||||
| Address2: | |||||||||
| City: | ROSWELL | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300767024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7706638010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 GENTRY GATE | ||||||||
| Address2: | |||||||||
| City: | ALPHARETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300226262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9284752371 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 022143 | GA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.