Individual
FLOYD BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5637 LA FLEUR TRL, LITHONIA, GA 30038-2846
(708) 256-0698
Mailing address
4515 SUNLIGHT CT, LILBURN, GA 30047-4585
(708) 256-0698
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BL19-000371
BUSINESS LICENSE
GA
Enumeration date
10/23/2019
Last updated
10/23/2019
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