Individual
JERRY RAY FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8507 US HIGHWAY 51 N, SUITE 107, MILLINGTON, TN 38053-1535
(901) 873-2555
(901) 873-2561
Mailing address
8507 HWY 51 N, SUITE 107, MILLINGTON, TN 38053-1535
(901) 873-2555
(901) 873-2561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000028821
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378384
—
TN
Enumeration date
12/27/2006
Last updated
02/12/2015
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