Healthcare Provider Details
I. General information
NPI: 1992847412
Provider Name (Legal Business Name): JAMES WALTER FINCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
910 BROAD ST
DURHAM NC
27705-4142
US
IV. Provider business mailing address
910 BROAD ST
DURHAM NC
27705-4142
US
V. Phone/Fax
- Phone: 919-416-4800
- Fax: 919-416-6103
- Phone: 919-416-4800
- Fax: 919-416-6103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | 28183 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: