Individual
KANANI DANIELS FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1805 PARKE PLAZA CIR, SUITE 101, STONE MOUNTAIN, GA 30087-3637
(770) 469-7000
(770) 879-0436
Mailing address
1805 PARKE PLAZA CIR, SUITE 101, STONE MOUNTAIN, GA 30087-3637
(770) 469-7000
(770) 879-0436
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
05335
GA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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