Provider Demographics
NPI:1710195615
Name:FINCHER, RONALD EDWIN (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:EDWIN
Last Name:FINCHER
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 1:2787 MARGARET MITCHELL DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1852
Mailing Address - Country:US
Mailing Address - Phone:404-668-9454
Mailing Address - Fax:404-355-6708
Practice Address - Street 1:2787 MARGARET MITCHELL DR NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1852
Practice Address - Country:US
Practice Address - Phone:404-668-9454
Practice Address - Fax:404-355-6708
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010923207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD45333Medicare UPIN