Floyd, Gwynne Douglas
Floyd, Gwynne Douglas is an individual health care provider with primary practice located at 504 Redmond Rd Nw , Rome GA 30165-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Floyd, Gwynne Douglas can be contacted via phone (706) 235-3855.Contact Information
Primary practice address
504 Redmond Rd Nw
Rome GA 30165-1416
Phone: (706) 235-3855
Fax: (706) 290-2382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 012864 | Georgia |
Profile Details
| NPI number | 1497815922 |
|---|---|
| LBN Legal business name | Floyd, Gwynne Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Apr 15th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497815922 | NPPES |
| Georgia | MEDICAID | 000232702A |
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