Provider Demographics
NPI:1538199930
Name:TAYLOR, FRANKLIN D (DPH)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:742 QUAIL HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-5069
Mailing Address - Country:US
Mailing Address - Phone:423-543-5029
Mailing Address - Fax:
Practice Address - Street 1:1735 ST. OF FRANKLIN
Practice Address - Street 2:RITE-AID
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604
Practice Address - Country:US
Practice Address - Phone:423-929-2611
Practice Address - Fax:423-929-8301
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist