Individual
HERBERT MYNATT FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005696000
—
WV
01
—
32780
BCBS
—
01
—
403
PARTNERS
—
01
—
4098526
AETNA
—
05
—
5713889
—
VA
01
—
63957
MEDCOST
—
05
—
8932780
—
NC
05
—
Q18302
—
SC
Enumeration date
12/13/2005
Last updated
06/29/2010
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