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General NPI Number Information
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NPI Number | 1073208625
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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 | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 101 INTERNATIONAL PKWY
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City | ADAIRSVILLE
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State | GA
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Zip | 30103-2028
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Country | US
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Telephone | 706-509-3983
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Fax |
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Provider Business Mailing Address
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Address Line | 420 E 2ND AVE STE 103
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City | ROME
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State | GA
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Zip | 30161-3210
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Country | US
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Telephone |
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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 |
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License Number State |
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