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Individual
RICHARD FIELDS
Active
Individual
RICHARD FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17368
TN
207QA0505X
Adult Medicine Physician
17368
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023449
—
TN
01
—
3144641
BCBS OF TN
TN
01
—
50014552
PASSPORT
KY
05
—
64008857
—
KY
01
—
P00327914
RAILROAD MEDICARE
TN
Enumeration date
06/09/2006
Last updated
01/23/2020
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