Healthcare Provider Details

I. General information

NPI: 1811548084
Provider Name (Legal Business Name): WAYNE COUNTY ANESTHESIA ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 09/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 S 1ST ST
JESUP GA
31545-0210
US

IV. Provider business mailing address

865 S 1ST ST
JESUP GA
31545-0210
US

V. Phone/Fax

Practice location:
  • Phone: 201-693-6953
  • Fax:
Mailing address:
  • Phone: 201-693-6953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY M FINLEY
Title or Position: PRESIDENT
Credential: DO
Phone: 201-693-6953