Individual
CHARLES FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV
Contact information
Practice address
135 FALL PIPPIN CT, CLARKESVILLE, GA 30523-8407
(443) 206-1496
Mailing address
135 FALL PIPPIN CT, CLARKESVILLE, GA 30523-8407
(443) 206-1496
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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