Organization
DAVID A FIELDS MD FAMILY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GADDIS (OFFICE MANAGER)
(770) 554-0399
Entity
Organization
Contact information
Practice address
96 TARA COMMONS DR, LOGANVILLE, GA 30052-8031
(770) 554-0399
(770) 554-0058
Mailing address
PO BOX 724928, ATLANTA, GA 31139-9028
(770) 554-0399
(770) 554-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048232
GA
Other
Enumeration date
04/17/2006
Last updated
02/15/2008
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