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NPI Code Detail

MEDICARE: FRANK BENNETT PEARCE JR. M.D.

MEDICARE: FRANK BENNETT PEARCE JR. M.D.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianMD0000055797TN
2390200000XStudent in an Organized Health Care Education/Training Program
3208200000XPlastic Surgery PhysicianMD39004AL

General Provider Information

NPI Number : 1740546365
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK BENNETT PEARCE JR. M.D.
Provider Business Mailing Address
First Line : 1501 KINGS HWY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4228
Country : US
Telephone Number : 318-813-2655
Fax Number :
Provider Business Practice Location Address
First Line : 2871 ACTON RD STE 101
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2560
Country : US
Telephone Number : 205-408-9787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 05/31/2024

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