Individual
GRANT L FRANKLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3595
(681) 342-3598
Mailing address
135 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4509
(681) 342-3595
(681) 342-3598
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19547
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130548000
—
WV
01
—
0853314
MEDICARE PTAN
WV
Enumeration date
07/11/2006
Last updated
04/05/2022
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