Healthcare Provider Details

I. General information

NPI: 1033214267
Provider Name (Legal Business Name): LATRINIA HUNT FRANKLIN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/21/2022
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEMORIAL HOSPITAL DR STE 2A
MOBILE AL
36608-1199
US

IV. Provider business mailing address

3719 DAUPHIN ST STE 100
MOBILE AL
36608-1769
US

V. Phone/Fax

Practice location:
  • Phone: 251-343-9090
  • Fax: 251-380-1015
Mailing address:
  • Phone: 251-410-1188
  • Fax: 251-414-5571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberA10567RX
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: