Healthcare Provider Details

I. General information

NPI: 1164682779
Provider Name (Legal Business Name): VICTORIA ANNE FRANZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2008
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HOSPITAL RD
FORT EISENHOWER GA
30905-5741
US

IV. Provider business mailing address

300 W HOSPITAL RD FAMILY MEDICINE CLINIC
FORT GORDON GA
30905-5741
US

V. Phone/Fax

Practice location:
  • Phone: 67-787-2921
  • Fax: 706-787-3112
Mailing address:
  • Phone: 706-787-0235
  • Fax: 706-787-0254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN144329
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN144329
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: