Provider Demographics
NPI:1851377345
Name:FINLEY, HEATHER LOUISE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:LOUISE
Last Name:FINLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 CIRCLE 75 PKWY SE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3035
Mailing Address - Country:US
Mailing Address - Phone:770-953-6929
Mailing Address - Fax:770-953-6972
Practice Address - Street 1:148 BILL CARRUTH PARKWAY
Practice Address - Street 2:STE 120
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141
Practice Address - Country:US
Practice Address - Phone:770-445-5666
Practice Address - Fax:770-445-0799
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA002462363AM0700X
GA2462363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP12676Medicare UPIN
GA97WCDBZMedicare ID - Type Unspecified