Healthcare Provider Details

I. General information

NPI: 1508817487
Provider Name (Legal Business Name): FRANK B LITTLE JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 08/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 MCFARLAND ST HEALTH STAR PHYSICIANS
MORRISTOWN TN
37814
US

IV. Provider business mailing address

711 MCFARLAND ST HEALTH STAR PHYSICIANS
MORRISTOWN TN
37814
US

V. Phone/Fax

Practice location:
  • Phone: 423-587-1987
  • Fax: 423-587-9252
Mailing address:
  • Phone: 423-587-1987
  • Fax: 423-587-9252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD16855
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License NumberMD16855
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: