Doctor Name: | DR. GIOVANNI FACCIA |
NPI Number: | 1952396384 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD12669 |
Business Practice Address: | 1345 W Main St Franklin, TN - 370643703 |
Business Phone Number: | 6157945009 |
Business Fax Number: | 6157919702 |
Mailing Address: | Po Box 190, FRANKLIN |
State: | TN |
Postal Code: | 370650190 |
Phone Number: | 6157945009 |
Fax Number: | 6157919702 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 10/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD12669 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |