Healthcare Provider Details

I. General information

NPI: 1871001180
Provider Name (Legal Business Name): BRITTANY NICOLE FINLEY RD, LD, CSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2018
Last Update Date: 01/30/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E. HOSPITAL RD
FT EISENHOWER GA
30905-0000
US

IV. Provider business mailing address

300 E HOSPITAL RD
FORT EISENHOWE GA
30905
US

V. Phone/Fax

Practice location:
  • Phone: 706-787-8217
  • Fax:
Mailing address:
  • Phone: 706-761-8107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD004608
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: