Individual
BETTY CAROL FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
247 SILVER LAKE RD, CHURCH HILL, TN 37642-3516
(423) 357-5341
(423) 357-2231
Mailing address
435 OLD STAGE RD, APT. 7, CHURCH HILL, TN 37642-3435
(423) 416-1748
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000011561
TN
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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