Healthcare Provider Details

I. General information

NPI: 1790814051
Provider Name (Legal Business Name): JAMES COURTNEY FRENCH JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 02/26/2021
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 NORTHSIDE CHEROKEE BLVD STE 410
CANTON GA
30115
US

IV. Provider business mailing address

460 NORTHSIDE CHEROKEE BLVD STE 410
CANTON GA
30115-8016
US

V. Phone/Fax

Practice location:
  • Phone: 678-786-7430
  • Fax: 678-786-7431
Mailing address:
  • Phone: 678-786-7430
  • Fax: 678-786-7431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number058959
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: