Individual
DR. CHARLES E FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 HENRY ST, GREENSBORO, NC 27405-3633
(336) 663-5700
(336) 663-5734
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004-00497
NC
2086S0129X
Vascular Surgery Physician
Primary
2004-00497
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2004-00497
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138GG
BCBS
NC
01
—
2434640
UHC
NC
05
—
8913866
—
NC
01
—
D5658
MEDCOST
NC
01
—
P00165847
RR MCR
NC
Enumeration date
06/20/2005
Last updated
08/06/2021
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