Provider Demographics
NPI:1336177211
Name:FINLEY, CHARLES R (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:R
Last Name:FINLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:550 PEACHTREE STREEE NE
Mailing Address - Street 2:STE 1215
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2241
Mailing Address - Country:US
Mailing Address - Phone:404-688-1934
Mailing Address - Fax:404-523-7702
Practice Address - Street 1:550 PEACHTREE ST. NE
Practice Address - Street 2:STE 1215
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2241
Practice Address - Country:US
Practice Address - Phone:404-688-1934
Practice Address - Fax:404-523-7702
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA030763174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD29475Medicare UPIN
GA02BDBHKMedicare PIN