Organization
FLOYD EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE B. RUSSELL M.D. (EXECUTIVE VICE PRESIDENT)
(706) 509-6000
Entity
Organization
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-6100
Mailing address
PO BOX 100201, ROME, GA 30162-7200
(706) 509-6110
(706) 509-4600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184055000A
—
GA
Enumeration date
08/09/2006
Last updated
08/02/2010
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