Healthcare Provider Details
I. General information
NPI: 1932477692
Provider Name (Legal Business Name): FRANKLIN HEARING CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/09/2011
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4091 MALLORY LN SUITE 122
FRANKLIN TN
37067-4849
US
IV. Provider business mailing address
4091 MALLORY LN SUITE 122
FRANKLIN TN
37067-4849
US
V. Phone/Fax
- Phone: 615-807-1274
- Fax: 615-807-1278
- Phone: 615-807-1274
- Fax: 615-807-1278
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 1066 |
| License Number State | TN |
VIII. Authorized Official
Name: DR.
CYNTHIA
L
ELLISON
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 615-807-1274