=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366600447
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FINNEY TECHNOLOGIES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2008
-----------------------------------------------------
Last Update Date | 11/01/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3485 MC EVER RD SUITE 103
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30504-5542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-531-3077
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3485 MC EVER RD SUITE 103
-----------------------------------------------------
City | GAINESVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30504-5542
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-531-3077
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHAIRMAN
-----------------------------------------------------
Name | DR. DAVID CHARLES FINNEY
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 770-531-3077
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NN1001X
-----------------------------------------------------
Taxonomy Name | Nutrition Chiropractor
-----------------------------------------------------
License Number | CHIR007765
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------