Healthcare Provider Details

I. General information

NPI: 1386605285
Provider Name (Legal Business Name): DEAN A FLOYD M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N BROWN ST
WEST COLUMBIA SC
29169-5710
US

IV. Provider business mailing address

PO BOX 3788
COLUMBIA SC
29230-3788
US

V. Phone/Fax

Practice location:
  • Phone: 803-995-8936
  • Fax: 803-995-8851
Mailing address:
  • Phone: 803-733-5969
  • Fax: 803-217-0266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8837
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: