Individual
HATTIE B FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
212 CONGRESS ST, CHARLESTON, SC 29403-4324
(843) 425-4422
Mailing address
PO BOX 21934, CHARLESTON, SC 29413-1934
(843) 425-4422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R96520
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RC1472
—
SC
Enumeration date
06/27/2013
Last updated
06/27/2013
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