Healthcare Provider Details

I. General information

NPI: 1811575798
Provider Name (Legal Business Name): ERINN VICTORIA FINCHER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4367 NEW SNAPFINGER WOODS DR
DECATUR GA
30035-2945
US

IV. Provider business mailing address

1766 STONEY CHASE DR
LAWRENCEVILLE GA
30044-2887
US

V. Phone/Fax

Practice location:
  • Phone: 770-981-2008
  • Fax:
Mailing address:
  • Phone: 678-896-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number11291
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: