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General NPI Number Information
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NPI Number | 1700192861
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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 | 08/27/2010
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Last Update Date | 11/12/2015
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Provider Practice Location Address
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Address Line | 304 TURNER MCCALL BLVD SW
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City | ROME
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State | GA
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Zip | 30165-5621
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Country | US
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Telephone | 706-509-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 304 TURNER MCCALL BLVD SW
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City | ROME
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State | GA
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Zip | 30165-5621
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Country | US
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Telephone | 706-509-5000
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Fax |
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Authorized Official
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Title or Position | VP
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Name | GREGORY D POLLEY
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Credential |
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Telephone | 706-509-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PHRE004030
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License Number State | GA
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