Healthcare Provider Details

I. General information

NPI: 1730479353
Provider Name (Legal Business Name): ASHANTI L FRANKLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CANTON RD NE
MARIETTA GA
30060-7260
US

IV. Provider business mailing address

800 CANTON RD NE
MARIETTA GA
30060-7260
US

V. Phone/Fax

Practice location:
  • Phone: 770-424-4328
  • Fax: 770-426-9924
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number299263-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number93344
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: