Healthcare Provider Details

I. General information

NPI: 1659849578
Provider Name (Legal Business Name): RICHARD C FINN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 11/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 NEW WALKERTOWN RD
WINSTON SALEM NC
27101-3420
US

IV. Provider business mailing address

2135 NEW WALKERTOWN RD
WINSTON SALEM NC
27101-3420
US

V. Phone/Fax

Practice location:
  • Phone: 336-723-7904
  • Fax:
Mailing address:
  • Phone: 336-760-1235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number21401
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: