Provider Demographics
NPI:1851152706
Name:FINCH, JAYDE ALEXA (MD)
Entity type:Individual
Prefix:
First Name:JAYDE
Middle Name:ALEXA
Last Name:FINCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29611-4215
Mailing Address - Country:US
Mailing Address - Phone:864-522-5220
Mailing Address - Fax:864-522-5247
Practice Address - Street 1:5 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-4215
Practice Address - Country:US
Practice Address - Phone:864-522-5220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-18
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1851152706208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics