Individual
MRS. DIXIE M FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4006 RHETT DR, OLANTA, SC 29114-9366
(843) 373-1440
Mailing address
4006 RHETT DR, OLANTA, SC 29114-9366
(843) 373-1440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9442P
SC
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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