Provider Demographics
NPI:1093995847
Name:FRANKLIN GASTROENTEROLOGY PLLC
Entity Type:Organization
Organization Name:FRANKLIN GASTROENTEROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILMOT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-771-8786
Mailing Address - Street 1:740 COOL SPRINGS BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6448
Mailing Address - Country:US
Mailing Address - Phone:615-771-8786
Mailing Address - Fax:615-771-2801
Practice Address - Street 1:740 COOL SPRINGS BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6448
Practice Address - Country:US
Practice Address - Phone:615-771-8786
Practice Address - Fax:615-771-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17896207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3728954Medicare PIN