Floyd, Jerry Ray

Floyd, Jerry Ray is an individual health care provider with primary practice located at 8507 Us Highway 51 N Suite 107, Millington TN 38053-1535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Floyd, Jerry Ray can be contacted via phone (901) 873-2555.

Contact Information

Primary practice address
8507 Us Highway 51 N Suite 107 Millington TN 38053-1535
Phone: (901) 873-2555
Fax: (901) 873-2561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000028821 Tennessee

Profile Details

NPI number 1083779235
LBN Legal business name Floyd, Jerry Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Feb 12th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083779235 NPPES
Tennessee MEDICAID 3378384

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