Provider Demographics
NPI:1669084372
Name:FLOYD, CURTIS JAMES
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:JAMES
Last Name:FLOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12154 JERRY WEST HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:SARA ANN
Mailing Address - State:WV
Mailing Address - Zip Code:25644
Mailing Address - Country:US
Mailing Address - Phone:304-239-3968
Mailing Address - Fax:
Practice Address - Street 1:12154 JERRY WEST HIGHWAY
Practice Address - Street 2:
Practice Address - City:SARA ANN
Practice Address - State:WV
Practice Address - Zip Code:25644
Practice Address - Country:US
Practice Address - Phone:304-239-3968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant