Individual
MRS. DALE R MCCLURE FLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
215 HAWTHORNE PARK, SUITE B, ATHENS, GA 30606-2164
(706) 310-9241
(706) 310-9276
Mailing address
PO BOX 1157, WATKINSVILLE, GA 30677-0024
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372422808A
—
GA
05
—
519782337A
—
GA
01
—
52991515 001
BCBS PROVIDER
GA
01
—
7097852
AETNA PROVIDER
GA
Enumeration date
12/18/2006
Last updated
09/13/2010
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