=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902899842
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RONALD D FRANKS MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2005
-----------------------------------------------------
Last Update Date | 01/15/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1015 MONTLIMAR DR STE A210
-----------------------------------------------------
City | MOBILE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36609-1743
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-460-7189
-----------------------------------------------------
Fax | 251-460-6369
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 40480
-----------------------------------------------------
City | MOBILE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36640-0480
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 251-434-3626
-----------------------------------------------------
Fax | 251-445-2464
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | MD29949
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | L.2917DP
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------