Larson, Constance
Larson, Constance is an individual health care provider with primary practice located at 300 East Hospital Road , Fort Gordon GA 30905-5650. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Larson, Constance can be contacted via phone (706) 787-5811.Contact Information
Primary practice address
300 East Hospital Road
Fort Gordon GA 30905-5650
Phone: (706) 787-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 83968 | Georgia |
Profile Details
| NPI number | 1568951622 |
|---|---|
| LBN Legal business name | Larson, Constance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2018 |
| Last updated | Jun 24th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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