Organization
FLOYD HEALTHCARE MANAGEMENT, INC.
Active
Parent organization
FLOYD HEALTHCARE MANAGEMENT, INC.
Other names
Floyd Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLOYD HEALTHCARE MANAGEMENT, INC.
Authorized official
DEE B. RUSSELL M.D. (EXECUTIVE VICE PRESIDENT)
(706) 509-3278
Entity
Organization
Contact information
Practice address
6000 JOE FRANK HARRIS PKWY NW, ADAIRSVILLE, GA 30103-2443
(770) 773-9448
(770) 773-1534
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3224
(706) 509-3278
(706) 509-4608
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000756G
—
GA
Enumeration date
08/31/2006
Last updated
12/20/2007
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