Larry Oneal France, PA

Individual provider Active NPI Medical Physician Assistant · Ft McPherson, GA

NPI 1720095680 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720095680
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
Practice address
1777 Hardee Ave SW
Ft McPherson, GA 30330-1062
Phone
(404) 464-6335
Fax
(404) 464-7512
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Yes

Addresses

Primary practice location

1777 Hardee Ave SW
Ft McPherson, GA 30330-1062

Mailing address

706 Nightwind Way
Stockbridge, GA 30281-9134
Phone (678) 565-3480

Other providers in Ft McPherson, GA

All providers in Ft McPherson, GA · Medical Physician Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.