Provider Demographics
NPI:1144590696
Name:FLOYD, VIRGINIA DAVIS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:DAVIS
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:1546 KINGS XING
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30087-1916
Mailing Address - Country:US
Mailing Address - Phone:770-564-3458
Mailing Address - Fax:770-564-3218
Practice Address - Street 1:1546 KINGS XING
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30087-1916
Practice Address - Country:US
Practice Address - Phone:770-564-3458
Practice Address - Fax:770-564-3218
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA19467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine