Provider Demographics
NPI:1548658206
Name:FINCH, DANIELLE MARISA (DOM, AP)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARISA
Last Name:FINCH
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3647 BUTTERCUP CT
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-1983
Mailing Address - Country:US
Mailing Address - Phone:954-234-7203
Mailing Address - Fax:
Practice Address - Street 1:6011 WESTERN HILLS DR
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-3483
Practice Address - Country:US
Practice Address - Phone:678-631-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3254171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist