Provider Demographics
NPI:1366425498
Name:FRANZUS, DAVID HAROLD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HAROLD
Last Name:FRANZUS
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 1:3304 HULL DR
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-4057
Mailing Address - Country:US
Mailing Address - Phone:423-239-9121
Mailing Address - Fax:
Practice Address - Street 1:121 E RAVINE RD
Practice Address - Street 2:SUITE 700
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3816
Practice Address - Country:US
Practice Address - Phone:423-247-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000015775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3010967Medicaid
TN3010967Medicare ID - Type Unspecified
TN3010967Medicaid