Provider Demographics
NPI:1235130212
Name:FRANKLIN UROLOGICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:FRANKLIN UROLOGICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STARLING
Authorized Official - Middle Name:C
Authorized Official - Last Name:EVINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-790-1660
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:STE 207
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-790-1660
Mailing Address - Fax:615-790-3705
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:STE 207
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-790-1660
Practice Address - Fax:615-790-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD10984208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNCC6506OtherRAILROAD MEDICARE
TN3378889Medicare ID - Type Unspecified