Healthcare Provider Details

I. General information

NPI: 1407052525
Provider Name (Legal Business Name): JENNIFER T FRANKLIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 TRILITH PKWY STE 315
FAYETTEVILLE GA
30214-5565
US

IV. Provider business mailing address

305 TRILITH PKWY STE 315
FAYETTEVILLE GA
30214-5565
US

V. Phone/Fax

Practice location:
  • Phone: 678-210-1956
  • Fax: 678-278-2810
Mailing address:
  • Phone: 678-210-1956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number65548
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27067
License Number StateAL
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number65548
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: