Floyd, Willa Mae

Floyd, Willa Mae is an individual health care provider with primary practice located at 906 N Matthews Rd , Lake City SC 29560-7011. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Floyd, Willa Mae can be contacted via phone (843) 374-2353.

Contact Information

Primary practice address
906 N Matthews Rd Lake City SC 29560-7011
Fax: (843) 374-5480
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 43831 South Carolina

Profile Details

NPI number 1659717643
LBN Legal business name Floyd, Willa Mae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated May 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659717643 NPPES
South Carolina MEDICAID 1245288901

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