MEDICARE: DR. DENISE R FINCK-ROTHMAN M.D.

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	207Q00000X	Family Medicine Physician	9901529	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00266340	OTHER	NC	RR MEDICARE

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
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629002555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE R FINCK-ROTHMAN M.D.

Provider Business Mailing Address
First Line	:	8535 CLIFF CAMERON DRIVE
Second Line	:	SUITE 100
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-5909
Country	:	US
Telephone Number	:	704-717-7477
Fax Number	:	704-717-7457

Provider Business Practice Location Address
First Line	:	8535 CLIFF CAMERON DRIVE
Second Line	:	SUITE 100
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-5909
Country	:	US
Telephone Number	:	704-717-7477
Fax Number	:	704-717-7457

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	03/14/2024

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