=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912181371
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRANKLIN FAMILY HEALTHCARE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/20/2007
-----------------------------------------------------
Last Update Date | 02/29/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1650 MURFREESBORO RD SUITE 202
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37067-5080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-550-7132
-----------------------------------------------------
Fax | 615-550-7133
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1650 MURFREESBORO RD SUITE 202
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37067-5080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-550-7132
-----------------------------------------------------
Fax | 615-550-7133
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD/PRESIDENT
-----------------------------------------------------
Name | BENJAMIN F BOOKER III
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 615-550-7132
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | 25641
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------