Healthcare Provider Details

I. General information

NPI: 1881776508
Provider Name (Legal Business Name): FLOYD COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 E 12TH ST SW
ROME GA
30161-4720
US

IV. Provider business mailing address

16 E 12TH ST SW
ROME GA
30161-4720
US

V. Phone/Fax

Practice location:
  • Phone: 706-295-6123
  • Fax: 706-802-5445
Mailing address:
  • Phone: 706-295-6123
  • Fax: 706-802-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER W SELLERS
Title or Position: DISTRICT HEALTH DIRECTOR
Credential: MD
Phone: 706-295-6704