Provider Demographics
NPI:1164552832
Name:FRANKLIN, RENEE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 LEE AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-1287
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:744 SCHOOL DR
Practice Address - Street 2:TN DEPT OF HEALTH
Practice Address - City:GAINESBORO
Practice Address - State:TN
Practice Address - Zip Code:38562-9575
Practice Address - Country:US
Practice Address - Phone:931-268-0218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other