Provider Demographics
NPI:1891715850
Name:FINLEY, ERIN L (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:FINLEY
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 DOUG WHITE DR STE 460
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572-4182
Mailing Address - Country:US
Mailing Address - Phone:843-449-2336
Mailing Address - Fax:843-497-0625
Practice Address - Street 1:920 DOUG WHITE DR STE 460
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4182
Practice Address - Country:US
Practice Address - Phone:843-449-2336
Practice Address - Fax:843-497-0625
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCA640363AS0400X
SC640363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1431812OtherSC FIRST HEALTH MB
SCP177569169OtherSC MEDICARE MI
SCA3035OtherMEDCOST
SC0022PAMedicaid
SCAA74129657Medicare PIN
SC0022PAMedicaid