Provider Demographics
NPI:1598971392
Name:SPECIALISTS IN PLASTIC SURGERY
Entity Type:Organization
Organization Name:SPECIALISTS IN PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:423-778-7448
Mailing Address - Street 1:979 E 3RD ST
Mailing Address - Street 2:SUITE A-0445
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2136
Mailing Address - Country:US
Mailing Address - Phone:423-778-7448
Mailing Address - Fax:423-778-7450
Practice Address - Street 1:979 E 3RD ST
Practice Address - Street 2:SUITE A-0445
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2136
Practice Address - Country:US
Practice Address - Phone:423-778-7448
Practice Address - Fax:423-778-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5757174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00295776BMedicaid
TN3708668Medicaid
GA00295776BMedicaid
TN3708668Medicaid