Healthcare Provider Details

I. General information

NPI: 1386723104
Provider Name (Legal Business Name): AARON MCKENNETH FRANCE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N POINTE BLVD
MOUNT AIRY NC
27030-2267
US

IV. Provider business mailing address

200 N POINT BLVD
MOUNT AIRY NC
27030-2267
US

V. Phone/Fax

Practice location:
  • Phone: 336-786-9430
  • Fax: 336-789-5398
Mailing address:
  • Phone: 336-786-9430
  • Fax: 336-786-5398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number36866
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: AARON M FRANCE
Title or Position: OWNER OF PRACTICE
Credential:
Phone: 336-786-9430