Healthcare Provider Details

I. General information

NPI: 1952303539
Provider Name (Legal Business Name): FRANKLIN DERMATOLOGY GROUP, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 12/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 COOL SPRINGS BLVD. #200
FRANKLIN TN
37067
US

IV. Provider business mailing address

740 COOL SPRINGS BLVD. #200
FRANKLIN TN
37067
US

V. Phone/Fax

Practice location:
  • Phone: 615-771-1881
  • Fax: 615-771-0050
Mailing address:
  • Phone: 615-771-1881
  • Fax: 615-771-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL A LATOUR
Title or Position: CO-OWNER
Credential:
Phone: 615-771-1881