Individual
BRENTON MATTHEW FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
100 PHYSICIANS WAY STE 110, LEBANON, TN 37090-8107
(615) 547-6700
Mailing address
100 PHYSICIANS WAY STE 110, LEBANON, TN 37090-8107
(615) 547-6700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
04/13/2022
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