Provider Demographics
NPI:1770726192
Name:AMMONS, FRAN (LAC,MSOM)
Entity type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:AMMONS
Suffix:
Gender:F
Credentials:LAC,MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOLLY SPRINGS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9469
Mailing Address - Country:US
Mailing Address - Phone:919-481-6777
Mailing Address - Fax:206-350-3396
Practice Address - Street 1:1100 HOLLY SPRINGS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9469
Practice Address - Country:US
Practice Address - Phone:919-481-6777
Practice Address - Fax:206-350-3396
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-15
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC214171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist