Basic Information
Provider Information
NPI: 1902876493
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINLEY
FirstName: JAMES
MiddleName: SYDNEY
NamePrefix: MR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 707 S VIENNA ST
Address2: SUITE 203
City: RUSTON
State: LA
PostalCode: 712705845
CountryCode: US
TelephoneNumber: 3182557591
FaxNumber: 3182557584
Practice Location
Address1: 707 SOUTH VIENNA STREET
Address2:  
City: RUSTON
State: LA
PostalCode: 712700000
CountryCode: US
TelephoneNumber: 3182518001
FaxNumber: 3186998843
Other Information
ProviderEnumerationDate: 01/25/2006
LastUpdateDate: 06/15/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
193400000X15037LAY GroupSingle Specialty 

No ID Information.


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