Provider Demographics
NPI:1386684207
Name:FINEMAN, STANLEY M (MD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:M
Last Name:FINEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8200 ROBERTS DR STE 450
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4115
Mailing Address - Country:US
Mailing Address - Phone:770-952-8612
Mailing Address - Fax:678-803-6944
Practice Address - Street 1:790 CHURCH ST NE STE 150
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8950
Practice Address - Country:US
Practice Address - Phone:770-953-3331
Practice Address - Fax:770-424-4480
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-11-12
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Provider Licenses
StateLicense IDTaxonomies
GA16229207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00148486AMedicaid
D29472Medicare UPIN
GA03BDBQNMedicare ID - Type Unspecified