Provider Demographics
NPI:1033138904
Name:NORRIS, IRIS MARIE FLOYD (MD)
Entity Type:Individual
Prefix:
First Name:IRIS MARIE
Middle Name:FLOYD
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 935722
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-5722
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:2835 EAST HIGHWAY 76
Practice Address - Street 2:STE 7
Practice Address - City:MULLINS
Practice Address - State:SC
Practice Address - Zip Code:29574
Practice Address - Country:US
Practice Address - Phone:843-431-2710
Practice Address - Fax:843-431-2716
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC247904Medicaid
SCGP4561Medicaid
SCP00383970OtherMEDICARE RAILROAD
SCP00383970OtherMEDICARE RAILROAD
SCI54733Medicare UPIN
SC247904Medicaid