Individual
TANYA MICHELLE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD NE, RADIOLOGY DEPARTMENT, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7794
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
058670
GA
2085R0202X
Diagnostic Radiology Physician
Primary
058670
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445139107
—
GA
Enumeration date
01/16/2007
Last updated
05/03/2019
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