Healthcare Provider Details

I. General information

NPI: 1326742776
Provider Name (Legal Business Name): JOHN MATTHEW FRANCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STILLWATER CIR
BONAIRE GA
31005-3858
US

IV. Provider business mailing address

ONE MEDICAL CENTER BLVD
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 478-328-6990
  • Fax: 855-475-8038
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number111896
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: