Individual
LARRY MICHAEL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 19TH ST, SUITE 406, KNOXVILLE, TN 37916-1854
(865) 541-2695
(865) 541-2696
Mailing address
501 19TH ST, SUITE 304, KNOXVILLE, TN 37916-1854
(865) 541-2695
(865) 541-2696
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD35436
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3867792
—
TN
01
—
4277390
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/31/2005
Last updated
08/04/2011
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