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Individual

DR. ANDREW JONATHAN FIELDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., APRN

Contact information

Practice address
3930 DEVINE ST, COLUMBIA, SC 29205-2804
(803) 274-6272
(803) 973-6627
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2168
SC
363LF0000X
Family Nurse Practitioner
Primary
17853
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
223847878
HMO
SC
05
CH2168
SC
05
NP2106
SC
01
U89170
MEDICARE UPIN
SC
Enumeration date
05/09/2006
Last updated
07/06/2021
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