Individual
DUANE OLLIE FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 WILLIAMS DR, BONAIRE, GA 31005-3826
(478) 918-3982
Mailing address
233 WILLIAMS DR, BONAIRE, GA 31005-3826
(478) 918-3982
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
CHIR006978
GA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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