Provider Demographics
NPI:1932117298
Name:FRANKLIN, JAMES DONALD III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DONALD
Last Name:FRANKLIN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 INDEPENDENCE PT
Mailing Address - Street 2:SUITE 212
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4545
Mailing Address - Country:US
Mailing Address - Phone:864-797-6044
Mailing Address - Fax:
Practice Address - Street 1:2A CLEVELAND CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2414
Practice Address - Country:US
Practice Address - Phone:864-271-7761
Practice Address - Fax:864-235-2045
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057969207Q00000X
SC24828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC248280Medicaid
SCP01033245OtherRAILROAD MEDICARE
GA000211956AMedicaid
GA08CBBTFMedicare PIN
GA000211956AMedicaid
SCAA12007951Medicare PIN
111815Medicare Oscar/Certification