MEDICARE: ANDREW FINN PA-C

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	363AM0700X	Medical Physician Assistant
2	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1841809837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW FINN PA-C

Provider Business Mailing Address
First Line	:	11 CURTIS LN
Second Line	:
City	:	PINEHURST
State	:	NC
Zip	:	28374-8074
Country	:	US
Telephone Number	:	719-440-3235
Fax Number	:

Provider Business Practice Location Address
First Line	:	0-1900 LAMONT ROAD
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-4613
Country	:	US
Telephone Number	:	910-643-1414
Fax Number	:

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

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	09/19/2022

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