Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25701 | TN |
NPI | 1023086451 |
---|---|
Provider Name | Dr. Eugene Michael Finan |
First Address | Dyersburg, TN 38024-1300 |
Second Address | Dyersburg, TN 38024-3111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 12/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1507917 | (05) | TN |
38057121 | (05) | TN |
4165552 | BCBS (01) | TN |
D79416 | (02) | TN |