Provider Demographics
NPI:1356505036
Name:ANDREW G FINLAY, JR., M.D. PC
Entity type:Organization
Organization Name:ANDREW G FINLAY, JR., M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:G
Authorized Official - Last Name:FINLAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:256-593-8114
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0006
Mailing Address - Country:US
Mailing Address - Phone:256-593-8114
Mailing Address - Fax:256-593-2679
Practice Address - Street 1:602B CORLEY AVE
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35957-5952
Practice Address - Country:US
Practice Address - Phone:256-593-8114
Practice Address - Fax:256-593-2679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5334207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000002066Medicaid
AL000002066Medicaid