Basic Information
Provider Information
NPI: 1083757892
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINNEGAN
FirstName: TIMOTHY
MiddleName: JOHN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: THE UNIVERSITY OF NORTH CAROLINA
Address2: CB#7305, 3009 OLD CLINIC BLDG.
City: CHAPEL HILL
State: NC
PostalCode: 275997305
CountryCode: US
TelephoneNumber: 9199664970
FaxNumber: 9199666735
Practice Location
Address1: 1236 HUFFMAN MILL RD
Address2:  
City: BURLINGTON
State: NC
PostalCode: 272158700
CountryCode: US
TelephoneNumber: 3365387725
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/14/2007
LastUpdateDate: 09/17/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/17/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003X2005-01312NCY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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