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Individual

SHAUN ILETHA FRANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
325 W MONTGOMERY XRD, SAVANNAH, GA 31406-3309
(912) 920-0214
(912) 921-2004
Mailing address
325 W MONTGOMERY XRD, SAVANNAH, GA 31406-3309
(912) 920-0214
(912) 921-2004

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040663
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080164681
RR MEDICARE FOR MPPG & CH5121
GA
01
08BBTXN
GA MEDICARE PTAN FOR MPPG & GRP3905
GA
05
G40663
SC
Enumeration date
06/06/2006
Last updated
01/21/2016
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