Healthcare Provider Details
I. General information
NPI: 1811189426
Provider Name (Legal Business Name): FRANKLIN ORTHOPAEDICS & SPORTS MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2007
Last Update Date: 08/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3310 ASPEN GROVE DR STE 102
FRANKLIN TN
37067-2836
US
IV. Provider business mailing address
PO BOX 306017
NASHVILLE TN
37230-6017
US
V. Phone/Fax
- Phone: 615-771-1116
- Fax: 615-771-1140
- Phone: 615-846-6715
- Fax: 615-370-0778
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | 21911 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
JEFFREY
W
COOK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 615-771-1116