Individual
SHELLEY MARIE FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1000
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-1000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2548
SC
Other
Enumeration date
05/04/2016
Last updated
03/17/2018
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