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General NPI Number Information
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NPI Number | 1033563135
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Entity Type | Organization
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Legal Business Name | FLOYD HEALTHCARE MANAGEMENT, INC
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 302 SHORTER AVE NW
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City | ROME
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State | GA
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Zip | 30165-4268
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Country | US
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Telephone | 706-291-3700
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Fax | 706-291-8712
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Provider Business Mailing Address
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Address Line | PO BOX 1882
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City | ROME
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State | GA
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Zip | 30162-1882
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Country | US
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Telephone | 706-509-3000
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Fax |
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Authorized Official
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Title or Position | VP OF CORPORATE AND NETWORK SERVICE
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Name | MATTHEW GORMAN
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Credential |
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Telephone | 706-509-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 057556
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License Number State | GA
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