Provider Demographics
NPI:1427403088
Name:STANLEY, MARK FRANKLIN JR (DO)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:FRANKLIN
Last Name:STANLEY
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-814-7800
Mailing Address - Fax:615-814-7798
Practice Address - Street 1:3301 ASPEN GROVE DR STE 100
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2903
Practice Address - Country:US
Practice Address - Phone:615-814-7800
Practice Address - Fax:615-814-7798
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TN3797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program