Healthcare Provider Details

I. General information

NPI: 1407664329
Provider Name (Legal Business Name): ASIA VICTORIA FINLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1499 FAIR RD
STATESBORO GA
30458-1683
US

IV. Provider business mailing address

642 STONEBRIDGE CIR
SAVANNAH GA
31419-7802
US

V. Phone/Fax

Practice location:
  • Phone: 912-486-1000
  • Fax:
Mailing address:
  • Phone: 912-414-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN287960
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: