Provider Demographics
NPI:1699013078
Name:FRANKLIN, TRACI WILLIAMS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRACI
Middle Name:WILLIAMS
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CURRY ST NE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:GA
Mailing Address - Zip Code:31779-1311
Mailing Address - Country:US
Mailing Address - Phone:229-294-5141
Mailing Address - Fax:229-294-3361
Practice Address - Street 1:120 CURRY ST NE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:GA
Practice Address - Zip Code:31779-1311
Practice Address - Country:US
Practice Address - Phone:229-294-5141
Practice Address - Fax:229-294-3361
Is Sole Proprietor?:No
Enumeration Date:2013-01-20
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45515183500000X
GARPH027011183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist