Provider Demographics
NPI:1427169739
Name:FLOYD, DOROTHY LUNETTE (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:LUNETTE
Last Name:FLOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-3551
Mailing Address - Country:US
Mailing Address - Phone:336-667-2235
Mailing Address - Fax:336-667-2235
Practice Address - Street 1:1405 WILLOW LN
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3551
Practice Address - Country:US
Practice Address - Phone:336-667-2235
Practice Address - Fax:336-667-2235
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA072708207V00000X
MN72579207V00000X
NC2016-00217207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00124439Medicaid
MS1600000415Medicare PIN
MS00124439Medicaid