Individual provider · Type 1 NPI

Kanani Daniels Floyd, PA-C

Medical Physician Assistant · Stone Mountain, GA

NPI number 1154624013 Active

Practice location

1805 Parke Plaza Cir, Suite 101
Stone Mountain, GA 30087-3637

Fax (770) 879-0436

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X05335 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1154624013

Kanani Daniels Floyd, PA-C's National Provider Identifier is 1154624013, issued on Dec 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stone Mountain, GA. The record was last updated on Dec 15, 2010.