Healthcare Provider Details
I. General information
NPI: 1558425199
Provider Name (Legal Business Name): CATHERINE ELIZABETH FRANKLIN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 CLIFTWOOD DR NE SUITE C
ATLANTA GA
30328-4839
US
IV. Provider business mailing address
906 IVY GREEN LN SE
MARIETTA GA
30067-3936
US
V. Phone/Fax
- Phone: 404-257-0188
- Fax: 404-257-9054
- Phone: 770-241-3383
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | CHIR005421 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: