Individual
TAZJANNE SHAVELL FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 PREMIER DR STE 300, HIGH POINT, NC 27265-8356
(336) 971-1348
Mailing address
2703 OLD SALISBURY RD, WINSTON SALEM, NC 27127-7215
(336) 624-8054
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
LAT-2545
NC
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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