Healthcare Provider Details

I. General information

NPI: 1457639700
Provider Name (Legal Business Name): JAMES S FINLEY MD A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S VIENNA ST
RUSTON LA
71270-5845
US

IV. Provider business mailing address

1809 NORTHPOINTE LN STE 203
RUSTON LA
71270-3852
US

V. Phone/Fax

Practice location:
  • Phone: 318-251-8001
  • Fax: 318-669-8843
Mailing address:
  • Phone: 318-255-7591
  • Fax: 318-255-7584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD.015037
License Number StateLA

VIII. Authorized Official

Name: DR. JAMES SIDNEY FINLEY III
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 318-251-8001