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General NPI Number Information
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NPI Number | 1104380278
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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 | 01/23/2019
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 4159 MARTHA BERRY HWY NW
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City | ROME
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State | GA
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Zip | 30165-7705
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Country | US
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Telephone | 706-292-3030
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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 | 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 |
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License Number State |
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