Healthcare Provider Details

I. General information

NPI: 1043128283
Provider Name (Legal Business Name): COURTNEY BROOKE FLOYD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 KENT ST
ANDREWS NC
28901-8088
US

IV. Provider business mailing address

2100 RIVEREDGE PKWY
SANDY SPRINGS GA
30328-4693
US

V. Phone/Fax

Practice location:
  • Phone: 828-321-3075
  • Fax:
Mailing address:
  • Phone: 770-200-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number42548
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: