Healthcare Provider Details

I. General information

NPI: 1700192861
Provider Name (Legal Business Name): FLOYD HEALTHCARE MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 TURNER MCCALL BLVD SW
ROME GA
30165-5621
US

IV. Provider business mailing address

304 TURNER MCCALL BLVD SW
ROME GA
30165-5621
US

V. Phone/Fax

Practice location:
  • Phone: 706-509-5000
  • Fax:
Mailing address:
  • Phone: 706-509-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License NumberPHRE004030
License Number StateGA

VIII. Authorized Official

Name: GREGORY D POLLEY
Title or Position: VP
Credential:
Phone: 706-509-3000