MEDICARE: FRANKLIN PRIMARY HEALTH CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207P00000X	Emergency Medicine Physician
2	207Q00000X	Family Medicine Physician
3	207QG0300X	Geriatric Medicine (Family Medicine) Physician
4	207R00000X	Internal Medicine Physician
5	207RB0002X	Obesity Medicine (Internal Medicine) Physician
6	207RG0100X	Gastroenterology Physician
7	207V00000X	Obstetrics & Gynecology Physician
8	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
9	208100000X	Physical Medicine & Rehabilitation Physician
10	208D00000X	General Practice Physician
11	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1487988499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN PRIMARY HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	PO BOX 2048
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36652-2048
Country	:	US
Telephone Number	:	251-964-4011
Fax Number	:	251-964-4012

Provider Business Practice Location Address
First Line	:	300 BAY SHORE AVE BLDG 306
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36607-2009
Country	:	US
Telephone Number	:	251-432-4117
Fax Number	:	251-964-4012

Authorized Official
Title or Position	:	CEO
Name	:	MR. CHARLES WHITE
Credential	:
Telephone Number	:	251-432-4117

Provider Enumeration Date	:	09/23/2009
Last Update Date	:	08/30/2022

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