Provider Demographics
NPI: | 1639183650 |
---|---|
Name: | FINLON, MICHAEL HAROLD (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | MICHAEL |
Middle Name: | HAROLD |
Last Name: | FINLON |
Suffix: | |
Gender: | M |
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: | PO BOX 19305 |
Mailing Address - Street 2: | |
Mailing Address - City: | CHARLOTTE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28219-9305 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 101 E W T HARRIS BLVD |
Practice Address - Street 2: | STE 5301 |
Practice Address - City: | CHARLOTTE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28262-3485 |
Practice Address - Country: | US |
Practice Address - Phone: | 704-863-9640 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-07-27 |
Last Update Date: | 2023-12-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 200301227 | 207V00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 1639183650 | Medicaid | |
SC | N0122F | Medicaid | |
NC | 89135M3 | Medicaid | |
NC | NCJ149A | Medicare PIN | |
NC | 89135M3 | Medicaid | |
NC | 2021656 | Medicare PIN | |
NC | H99350 | Medicare UPIN | |
NC | 2021656C | Medicare PIN | |
NC | 2021656A | Medicare PIN |