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Individual

MICHAEL JAY FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 PATEWOOD DR STE A300, GREENVILLE, SC 29615-6303
(864) 454-5530
(864) 241-9246
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
37696
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
376961
SC
Enumeration date
08/31/2006
Last updated
05/10/2021
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