Provider Demographics
NPI:1386127835
Name:FRENCH, RYAN O
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:O
Last Name:FRENCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-0274
Mailing Address - Country:US
Mailing Address - Phone:601-209-8844
Mailing Address - Fax:662-749-7144
Practice Address - Street 1:502A MAIN ST S
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5219
Practice Address - Country:US
Practice Address - Phone:601-209-8844
Practice Address - Fax:662-749-7144
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker