Provider Demographics
NPI:1033516091
Name:FINCH, MARY
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:FINCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2970 WALT STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-4118
Mailing Address - Country:US
Mailing Address - Phone:404-547-5582
Mailing Address - Fax:678-829-3506
Practice Address - Street 1:2970 WALT STEPHENS RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-4118
Practice Address - Country:US
Practice Address - Phone:404-547-5582
Practice Address - Fax:678-829-3506
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider