Provider Demographics
NPI:1588669550
Name:FINLEY, JON P (MD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:P
Last Name:FINLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:175 COUNTRY CLUB DR
Mailing Address - Street 2:BLDG 100 SUITE E
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-9054
Mailing Address - Country:US
Mailing Address - Phone:770-507-5000
Mailing Address - Fax:770-507-5075
Practice Address - Street 1:175 COUNTRY CLUB DR
Practice Address - Street 2:BLDG 100
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9054
Practice Address - Country:US
Practice Address - Phone:770-507-5000
Practice Address - Fax:770-507-5075
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2013-07-24
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Provider Licenses
StateLicense IDTaxonomies
GA043936207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000759591DMedicaid
GAP00061017Medicare PIN
GA20NCCCQMedicare PIN
GAE03677Medicare UPIN