Provider Demographics
NPI:1164284998
Name:FLOYD HEALTHCARE MANAGEMENT INC
Entity Type:Organization
Organization Name:FLOYD HEALTHCARE MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, NETWORK OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-509-3000
Mailing Address - Street 1:330 TURNER MCCALL BLVD SW STE 101
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-5631
Mailing Address - Country:US
Mailing Address - Phone:706-509-5740
Mailing Address - Fax:706-509-5741
Practice Address - Street 1:330 TURNER MCCALL BLVD SW STE 101
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-5631
Practice Address - Country:US
Practice Address - Phone:706-509-5740
Practice Address - Fax:706-509-5741
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLOYD HEALTHCARE MANAGEMENT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty