Provider Demographics
NPI:1669556262
Name:FRANKLIN, STEPHEN ROBERT (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ROBERT
Last Name:FRANKLIN
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 1:7800 CONNER RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3511
Mailing Address - Country:US
Mailing Address - Phone:865-546-7140
Mailing Address - Fax:865-546-8048
Practice Address - Street 1:7800 CONNER RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3511
Practice Address - Country:US
Practice Address - Phone:865-546-7140
Practice Address - Fax:865-546-8048
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD014390207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3002958Medicaid
TN3002958Medicaid
0698870001Medicare NSC