Healthcare Provider Details

I. General information

NPI: 1851479471
Provider Name (Legal Business Name): EDGAR W FINN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750A SOUTHLAND DR
MOBILE AL
36693-3316
US

IV. Provider business mailing address

26920 POLLARD RD APT. 127
DAPHNE AL
36526-5141
US

V. Phone/Fax

Practice location:
  • Phone: 251-450-4367
  • Fax:
Mailing address:
  • Phone: 251-626-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number16526
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: