Individual
MS. COURTNEY D FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4424 WOODSTREAM DR, NORTH DINWIDDIE, VA 23803-8881
(804) 836-4606
Mailing address
4424 WOODSTREAM DR, NORTH DINWIDDIE, VA 23803-8881
(804) 836-4606
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
VA
Enumeration date
02/03/2022
Last updated
02/03/2022
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