Individual
RYAN MICHAEL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 GROVE RD, 5TH FLOOR SUPPORT TOWER, GREENVILLE, SC 29605-4210
(864) 455-7882
(864) 455-5008
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL36675
SC
Other
Enumeration date
06/09/2014
Last updated
07/16/2014
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