Provider Demographics
NPI:1144217118
Name:FIELDS, CAROLYN D (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:D
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1028 N CHURCH ST
Mailing Address - Street 2:PARIS VIEW FAMILY PRACTICE PA
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-1639
Mailing Address - Country:US
Mailing Address - Phone:864-271-1464
Mailing Address - Fax:864-467-9119
Practice Address - Street 1:1028 N CHURCH ST
Practice Address - Street 2:PARIS VIEW FAMILY PRACTICE PA
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1639
Practice Address - Country:US
Practice Address - Phone:864-271-1464
Practice Address - Fax:864-467-9119
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2013-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC11417207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP2375Medicaid
SCD179226143Medicare PIN
SCGP2375Medicaid