Provider Demographics
NPI:1174602460
Name:FRANCIS, HENRY MINTON JR (MD)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:MINTON
Last Name:FRANCIS
Suffix:JR
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 1:4241 LUNDY MOUNTAIN LN
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MTN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2454
Mailing Address - Country:US
Mailing Address - Phone:423-834-5682
Mailing Address - Fax:
Practice Address - Street 1:4241 LUNDY MOUNTAIN LN
Practice Address - Street 2:
Practice Address - City:SIGNAL MTN
Practice Address - State:TN
Practice Address - Zip Code:37377-2454
Practice Address - Country:US
Practice Address - Phone:423-834-5682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000017478207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3720228Medicaid
BF0477376OtherDEA
BF0477376OtherDEA