Individual
REGINA JELLICORSE FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 W PRICE RD, DANDRIDGE, TN 37725
(865) 475-6161
(865) 475-9857
Mailing address
150 W PRICE RD, DANDRIDGE, TN 37725-4524
(865) 475-6161
(865) 475-9857
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
45159
TN
207Q00000X
Family Medicine Physician
Primary
MD45159
TN
208M00000X
Hospitalist Physician
45159
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520666
—
TN
Enumeration date
08/06/2007
Last updated
06/12/2018
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