Karen Ann Floyd, ORTHOTIC SHOE FITTER

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Centerville, GA

NPI 1679913180 · NPPES record last updated Jun 28, 2013

Key facts

NPI
1679913180
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
304 Pembroke PT
Centerville, GA 31028-8041
Phone
(478) 213-5233
Fax
(888) 845-8243
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X GA Yes

Addresses

Primary practice location

304 Pembroke PT
Centerville, GA 31028-8041

Mailing address

304 Pembroke PT
Centerville, GA 31028-8041
Phone (478) 213-5233

Other providers in Centerville, GA

All providers in Centerville, GA · Student in an Organized Health Care Education/Training Program in Georgia

Sources for this page

Verify at the official NPI Registry.