Individual
KENYA LAVETTE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 E 24TH AVE, CORDELE, GA 31015-2108
(229) 947-5549
Mailing address
911 E 24TH AVE, CORDELE, GA 31015-2108
(229) 947-5549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN233004
GA
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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