Individual
MRS. SUSAN GAIL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
58 CARROLL STREET, LEBANON, VA 24266
(276) 883-8000
Mailing address
58 CARROLL STREET, LEBANON, VA 24266
(276) 883-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024182573
VA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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