Provider Demographics
NPI:1700047958
Name:TENNIS, FRANCES G (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:G
Last Name:TENNIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 MONUMENT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4905
Mailing Address - Country:US
Mailing Address - Phone:804-358-4904
Mailing Address - Fax:804-358-3107
Practice Address - Street 1:3602 MONUMENT AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4905
Practice Address - Country:US
Practice Address - Phone:804-358-4904
Practice Address - Fax:804-358-3107
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248805208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics