MEDICARE: CHARLES R FINLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	030763	GA
2	208600000X	Surgery Physician	030763	GA

General Provider Information

NPI Number	:	1336177211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES R FINLEY MD

Provider Business Mailing Address
First Line	:	550 PEACHTREE STREEE NE
Second Line	:	STE 1215
City	:	ATLANTA
State	:	GA
Zip	:	30308-2241
Country	:	US
Telephone Number	:	404-688-1934
Fax Number	:	404-523-7702

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST. NE
Second Line	:	STE 1215
City	:	ATLANTA
State	:	GA
Zip	:	30308-2241
Country	:	US
Telephone Number	:	404-688-1934
Fax Number	:	404-523-7702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	01/16/2013

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