MEDICARE: LARRY ONEAL FRANCE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1720095680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARRY ONEAL FRANCE PA

Provider Business Mailing Address
First Line	:	706 NIGHTWIND WAY
Second Line	:
City	:	STOCKBRIDGE
State	:	GA
Zip	:	30281-9134
Country	:	US
Telephone Number	:	678-565-3480
Fax Number	:	404-464-7512

Provider Business Practice Location Address
First Line	:	1777 HARDEE AVE SW
Second Line	:
City	:	FT MCPHERSON
State	:	GA
Zip	:	30330-1062
Country	:	US
Telephone Number	:	404-464-6335
Fax Number	:	404-464-7512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/08/2007

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