MEDICARE: GENE E FLOYD JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	18408	SC

General Provider Information

NPI Number	:	1194855346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENE E FLOYD JR. MD

Provider Business Mailing Address
First Line	:	1224 BETHEL RD
Second Line	:
City	:	TROY
State	:	SC
Zip	:	29848-2215
Country	:	US
Telephone Number	:	864-852-3336
Fax Number	:	864-852-3339

Provider Business Practice Location Address
First Line	:	219 N MINE ST
Second Line	:
City	:	MC CORMICK
State	:	SC
Zip	:	29835-8363
Country	:	US
Telephone Number	:	864-852-3336
Fax Number	:	864-852-3339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	01/25/2008

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