MEDICARE: SUSAN GAIL FINCH 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	207R00000X	Internal Medicine Physician	MD29990	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457305161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN GAIL FINCH MD

Provider Business Mailing Address
First Line	:	1060 PEERLESS XING NW STE 200
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3785
Country	:	US
Telephone Number	:	423-479-4165
Fax Number	:	423-476-9360

Provider Business Practice Location Address
First Line	:	1060 PEERLESS XING NW STE 200
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3785
Country	:	US
Telephone Number	:	423-479-4165
Fax Number	:	423-476-9360

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	03/14/2022

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Directions to “ SUSAN GAIL FINCH MD” Practice Location

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