Provider Demographics
NPI:1447334974
Name:FRANKLIN WOMEN'S CENTER, PLLC
Entity type:Organization
Organization Name:FRANKLIN WOMEN'S CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STAFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-794-8800
Mailing Address - Street 1:4155 CAROTHERS PKWY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5905
Mailing Address - Country:US
Mailing Address - Phone:615-794-8800
Mailing Address - Fax:615-791-4440
Practice Address - Street 1:4155 CAROTHERS PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5905
Practice Address - Country:US
Practice Address - Phone:615-794-8800
Practice Address - Fax:615-791-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3708659Medicare ID - Type UnspecifiedGROUP BILLING NUMBER