Healthcare Provider Details

I. General information

NPI: 1164350047
Provider Name (Legal Business Name): CHARLOTTE ROSE FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLLEGE STATION RD BLDG 2
ATHENS GA
30605-2718
US

IV. Provider business mailing address

1000 LAKESIDE DR APT A102
ATHENS GA
30605-5919
US

V. Phone/Fax

Practice location:
  • Phone: 706-542-4751
  • Fax:
Mailing address:
  • Phone: 470-421-8368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: