Provider Demographics
NPI:1699834903
Name:REED, FLOYD JR (MD)
Entity Type:Individual
Prefix:
First Name:FLOYD
Middle Name:
Last Name:REED
Suffix:JR
Gender:M
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 89
Mailing Address - Street 2:213 BROADWAY
Mailing Address - City:HARTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37074
Mailing Address - Country:US
Mailing Address - Phone:615-374-9275
Mailing Address - Fax:615-374-9281
Practice Address - Street 1:213 BROADWAY
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37074
Practice Address - Country:US
Practice Address - Phone:615-374-9275
Practice Address - Fax:615-374-9281
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000013103207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine