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Individual

DR. RODNEY DALE FIELDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
309 HIGHLAND PKWY, SUITE 200, EAST ELLIJAY, GA 30540-6782
(706) 698-2663
(706) 698-2664
Mailing address
309 HIGHLAND PKWY, SUITE 200, EAST ELLIJAY, GA 30540-6782
(706) 698-2663
(706) 698-2664

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
050367
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173780118A
GA
Enumeration date
10/23/2006
Last updated
05/19/2011
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