Individual
TINA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 KINCAID BRIDGE RD, WINNSBORO, SC 29180-7116
(803) 635-6481
(803) 635-1410
Mailing address
1136 KINCAID BRIDGE RD, WINNSBORO, SC 29180-7116
(803) 635-6481
(803) 635-1410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
45014
SC
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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