Healthcare Provider Details
I. General information
NPI: 1841731783
Provider Name (Legal Business Name): FINA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2017
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
532 MADISON ST SE
HUNTSVILLE AL
35801-4205
US
IV. Provider business mailing address
532 MADISON ST SE
HUNTSVILLE AL
35801-4205
US
V. Phone/Fax
- Phone: 256-217-9613
- Fax:
- Phone: 256-217-9613
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | MD.33099 |
| License Number State | AL |
VIII. Authorized Official
Name:
WILLIAM
BRETT
DAVENPORT
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 901-438-8993