Individual
MRS. MORGAN DARST FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
996 MEDICAL RIDGE RD, CLINTON, SC 29325-4541
(864) 833-5654
Mailing address
996 MEDICAL RIDGE RD, CLINTON, SC 29325-4541
(864) 833-5654
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5137
SC
363A00000X
Physician Assistant
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5137
SC STATE MEDICAL BOARD
SC
Enumeration date
11/03/2023
Last updated
12/20/2023
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