Provider Demographics
NPI:1265405229
Name:HARKRIDER, FRANKLIN DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:DOUGLAS
Last Name:HARKRIDER
Suffix:
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 1:805 PARK ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3418
Mailing Address - Country:US
Mailing Address - Phone:678-528-4070
Mailing Address - Fax:
Practice Address - Street 1:743 SPRING ST NE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3715
Practice Address - Country:US
Practice Address - Phone:770-536-2146
Practice Address - Fax:770-536-7895
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018666207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA93BFDXPOtherMEDICARE PIN URGENT CARE FRIENDSHIP
GA000193201NMedicaid
GA000193201OOtherMEDICAID URGENT CARE FRIENDSHIP
GA000193201MMedicaid
GA93BBJWBMedicare PIN
GA000193201MMedicaid