Provider Demographics
NPI:1720095680
Name:FRANCE, LARRY ONEAL (PA)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:ONEAL
Last Name:FRANCE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:706 NIGHTWIND WAY
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9134
Mailing Address - Country:US
Mailing Address - Phone:678-565-3480
Mailing Address - Fax:404-464-7512
Practice Address - Street 1:1777 HARDEE AVE SW
Practice Address - Street 2:
Practice Address - City:FT MCPHERSON
Practice Address - State:GA
Practice Address - Zip Code:30330-1062
Practice Address - Country:US
Practice Address - Phone:404-464-6335
Practice Address - Fax:404-464-7512
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical