MEDICARE: DR. FLOYD A SHURLEY JR. M.D.

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	C5668	AR

General Provider Information

NPI Number	:	1972509040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLOYD A SHURLEY JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1265
Second Line	:
City	:	CABOT
State	:	AR
Zip	:	72023-1265
Country	:	US
Telephone Number	:	501-843-5757
Fax Number	:	501-843-5700

Provider Business Practice Location Address
First Line	:	1911 N 2ND ST
Second Line	:
City	:	CABOT
State	:	AR
Zip	:	72023-2209
Country	:	US
Telephone Number	:	501-843-5757
Fax Number	:	501-843-5700

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/09/2007

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