Basic Information
Provider Information
NPI: 1306821657
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLEY
FirstName: ROBERT
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 2089
Address2:  
City: EASLEY
State: SC
PostalCode: 296412089
CountryCode: US
TelephoneNumber: 8644428000
FaxNumber: 8648599362
Practice Location
Address1: 112 JOHN ST
Address2: SUITE 201
City: EASLEY
State: SC
PostalCode: 296401472
CountryCode: US
TelephoneNumber: 8648502663
FaxNumber: 8643060012
Other Information
ProviderEnumerationDate: 12/09/2005
LastUpdateDate: 01/28/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X8382SCY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
PC208305SC MEDICAID
GP526005SC MEDICAID


Home