Provider Demographics
NPI:1366492365
Name:FRANKLIN, ALAN JAY (MD, PHD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:JAY
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 SPRING HILL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1416
Mailing Address - Country:US
Mailing Address - Phone:251-435-1200
Mailing Address - Fax:251-435-6357
Practice Address - Street 1:1720 SPRING HILL AVE STE 300
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1409
Practice Address - Country:US
Practice Address - Phone:251-435-1200
Practice Address - Fax:251-435-6357
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00026319207W00000X
AL26319207WX0107X
FLME93012207W00000X
MS19476207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME93012OtherMEDICAL LICENSE
FL276474100Medicaid
AL59182423OtherBCBS AL PROVIDER NUMBER
MS19476OtherMEDICAL LICENSE
AL009933452Medicaid
ALMD.26319OtherMEDICAL LICENSE
FLME93012OtherMEDICAL LICENSE
MS19476OtherMEDICAL LICENSE