Provider Demographics
NPI:1225365976
Name:FLORY, MICHAEL S (APRN)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:FLORY
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 KINGSRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BROXTON
Mailing Address - State:GA
Mailing Address - Zip Code:31519-6542
Mailing Address - Country:US
Mailing Address - Phone:229-292-4576
Mailing Address - Fax:
Practice Address - Street 1:200 DOCTORS DR STE 106
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:GA
Practice Address - Zip Code:31533-2202
Practice Address - Country:US
Practice Address - Phone:912-384-3338
Practice Address - Fax:912-389-0979
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN175893363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care