Provider Demographics
NPI:1841395894
Name:FRANKLIN ENDOSCOPY CENTER, LLC
Entity Type:Organization
Organization Name:FRANKLIN ENDOSCOPY CENTER, LLC
Other - Org Name:FRANKLIN ENDOSCOPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OCCONOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-375-7315
Mailing Address - Street 1:9160 CAROTHERS PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6300
Mailing Address - Country:US
Mailing Address - Phone:615-550-6066
Mailing Address - Fax:615-550-6069
Practice Address - Street 1:9160 CAROTHERS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6300
Practice Address - Country:US
Practice Address - Phone:615-550-6066
Practice Address - Fax:615-550-6069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN190261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3739844Medicare PIN